Provider First Line Business Practice Location Address:
1385 E GARRISON BLVD
Provider Second Line Business Practice Location Address:
SAPPHIRE SPEECH AND LANGUAGE THERAPY SERVICES, PLLC
Provider Business Practice Location Address City Name:
GASTONIA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28054-5127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-235-5864
Provider Business Practice Location Address Fax Number:
704-215-5638
Provider Enumeration Date:
06/22/2010