Provider First Line Business Practice Location Address:
N10561 GRAND VIEW LANE
Provider Second Line Business Practice Location Address:
REHABILITATION SERVICES
Provider Business Practice Location Address City Name:
IRONWOOD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-932-5990
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2018