Provider First Line Business Practice Location Address:
60 COMMERCE PARK
Provider Second Line Business Practice Location Address:
SHORELINE PHYSICAL THERAPY & SPORTS MEDICINE LLC
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06460-3506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-876-7316
Provider Business Practice Location Address Fax Number:
200-387-6004
Provider Enumeration Date:
02/28/2007