Provider First Line Business Practice Location Address:
1260 SILAS DEANE HIGHWAY
Provider Second Line Business Practice Location Address:
EASTERN REHABILTATION NETWORK
Provider Business Practice Location Address City Name:
WETHERSFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-529-3179
Provider Business Practice Location Address Fax Number:
860-571-3282
Provider Enumeration Date:
04/17/2007