Provider First Line Business Practice Location Address:
1 RAPP ROAD
Provider Second Line Business Practice Location Address:
ADVANCED THERAPY P.L.L.C.
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-867-3062
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/29/2012