Provider First Line Business Practice Location Address:
5008 BALTIMORE AVE
Provider Second Line Business Practice Location Address:
SUITE 2B PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19143-3302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-764-8500
Provider Business Practice Location Address Fax Number:
215-764-8507
Provider Enumeration Date:
02/10/2008