Provider First Line Business Practice Location Address:
403 EAST CENTRAL AVE, SUITE 102
Provider Second Line Business Practice Location Address:
SUNNY DAYS THERAPY
Provider Business Practice Location Address City Name:
ST. MICHAEL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55376
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-223-2506
Provider Business Practice Location Address Fax Number:
925-443-2038
Provider Enumeration Date:
03/05/2013