Provider First Line Business Practice Location Address:
10530 SPOTSYLVANIA AVE SUITE 102
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITAL THERAPY CENTER
Provider Business Practice Location Address City Name:
FREDERICKSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-891-4485
Provider Business Practice Location Address Fax Number:
540-891-4486
Provider Enumeration Date:
02/01/2007