Provider First Line Business Practice Location Address:
2817 REILLY ROAD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ORTHO & REHAB
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-3500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-907-9798
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2007