Provider First Line Business Practice Location Address:
PHYT REHAB
Provider Second Line Business Practice Location Address:
1202 E. 14TH STREET
Provider Business Practice Location Address City Name:
MERRILL
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-434-5100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2017