Provider First Line Business Practice Location Address:
8497 W. CONCORDIA DR
Provider Second Line Business Practice Location Address:
REHABILITATION DEPARTMENT
Provider Business Practice Location Address City Name:
ARIZONA CITY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85123-2211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-828-8874
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2007