Provider First Line Business Practice Location Address:
25700 LAHSER RD
Provider Second Line Business Practice Location Address:
IRVINE NEURO REHABILITATION CENTER
Provider Business Practice Location Address City Name:
SOUTHFIELD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48033-2625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-415-2500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2016