Provider First Line Business Practice Location Address:
TRAC REHAB EAST
Provider Second Line Business Practice Location Address:
4403 IROQUOIS AVE
Provider Business Practice Location Address City Name:
ERIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-877-7078
Provider Business Practice Location Address Fax Number:
814-899-5484
Provider Enumeration Date:
07/14/2005