Provider First Line Business Practice Location Address:
865 W LAKE DR
Provider Second Line Business Practice Location Address:
DBA EDWIN H. MARTINAT REHABILITATION CENTER
Provider Business Practice Location Address City Name:
MOUNT AIRY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27030-2157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-718-6700
Provider Business Practice Location Address Fax Number:
336-718-6790
Provider Enumeration Date:
04/08/2006