Provider First Line Business Practice Location Address:
103 E MAIN ST
Provider Second Line Business Practice Location Address:
BLUE RIDGE OSTEOPATHIC MANIPULATIVE MEDICINE
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24153-3816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-384-6340
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2006