Provider First Line Business Practice Location Address:
2270 US HWY 74A SUITE 341
Provider Second Line Business Practice Location Address:
ONESOURCE REHAB
Provider Business Practice Location Address City Name:
FOREST CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-247-1588
Provider Business Practice Location Address Fax Number:
828-247-1692
Provider Enumeration Date:
06/15/2010