Provider First Line Business Practice Location Address:
1940 ELMER J BISSELL RD
Provider Second Line Business Practice Location Address:
PT/ OT
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35243-2941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-824-4819
Provider Business Practice Location Address Fax Number:
205-824-4807
Provider Enumeration Date:
09/08/2009