Provider First Line Business Practice Location Address:
1447 E GRAND RIVER AVE
Provider Second Line Business Practice Location Address:
HEALTH SOURCE PHYSICAL THERAPY CENTER,INC.
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48875-9687
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-647-1000
Provider Business Practice Location Address Fax Number:
517-647-1100
Provider Enumeration Date:
04/20/2007