Provider First Line Business Practice Location Address:
301 MAIN STREET SW
Provider Second Line Business Practice Location Address:
BRENAU UNIVERSITY, DEPARTMENT OF PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
GAINESVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-971-1831
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2015