Provider First Line Business Practice Location Address:
8600 W. 3RD. STREET
Provider Second Line Business Practice Location Address:
SUITE 3B HOLLYWOOD HANDS REHABILITATION
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-275-2130
Provider Business Practice Location Address Fax Number:
310-275-2131
Provider Enumeration Date:
04/27/2016