Provider First Line Business Practice Location Address:
2453 POWDER SPRINGS ROAD, SUITE 210
Provider Second Line Business Practice Location Address:
PRO HEALTH AND REHAB
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30064-4570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-567-2313
Provider Business Practice Location Address Fax Number:
678-567-2259
Provider Enumeration Date:
05/17/2006