Provider First Line Business Practice Location Address:
3234C KIRKWOOD HIGHWAY
Provider Second Line Business Practice Location Address:
BLUE HEN PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-995-1741
Provider Business Practice Location Address Fax Number:
302-995-6987
Provider Enumeration Date:
07/11/2006