Provider First Line Business Practice Location Address:
CENTER FOR LIFE TRANSITIONS, PA
Provider Second Line Business Practice Location Address:
1505 SE 40TH ST. STE 'E'
Provider Business Practice Location Address City Name:
CAPE CORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33904-3265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-549-8342
Provider Business Practice Location Address Fax Number:
239-772-4425
Provider Enumeration Date:
12/13/2006