Provider First Line Business Practice Location Address:
410 W POPLAR ST.
Provider Second Line Business Practice Location Address:
REHABILITATION SERVICES
Provider Business Practice Location Address City Name:
WALLA WALLA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-897-2100
Provider Business Practice Location Address Fax Number:
509-897-5752
Provider Enumeration Date:
02/16/2017