Provider First Line Business Practice Location Address:
380 S HILL ST
Provider Second Line Business Practice Location Address:
PINAL MOUNTAIN REHAB
Provider Business Practice Location Address City Name:
GLOBE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85501-2229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-425-3538
Provider Business Practice Location Address Fax Number:
928-425-6808
Provider Enumeration Date:
10/11/2006