Provider First Line Business Practice Location Address:
CORE THERAPY SERVICES
Provider Second Line Business Practice Location Address:
3756 LAVISTA ROAD SUITE 104
Provider Business Practice Location Address City Name:
TUCKER
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-222-1217
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2023