Provider First Line Business Practice Location Address:
1800 LOMBARD ST FL 1
Provider Second Line Business Practice Location Address:
PENN MEDICINE RITTENHOUSE, DEPT OF PHYSICAL MED & REHAB
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19146-1414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-893-2600
Provider Business Practice Location Address Fax Number:
215-893-2686
Provider Enumeration Date:
05/13/2011