Provider First Line Business Practice Location Address:
94 AUBURN ST
Provider Second Line Business Practice Location Address:
SUITE 103 PORT CITY PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-797-7578
Provider Business Practice Location Address Fax Number:
207-797-8165
Provider Enumeration Date:
05/03/2006