Provider First Line Business Practice Location Address:
550 GLENWOOD DRIVE
Provider Second Line Business Practice Location Address:
GENESIS REHAB
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-664-7494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2013