Provider First Line Business Practice Location Address:
790 COLLEGE PARKWAY
Provider Second Line Business Practice Location Address:
FAHC-REHAB INSTITUTE-
Provider Business Practice Location Address City Name:
COLCHESTER
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-847-2184
Provider Business Practice Location Address Fax Number:
802-847-1942
Provider Enumeration Date:
10/02/2006