Provider First Line Business Practice Location Address:
630 ORANGE ST
Provider Second Line Business Practice Location Address:
WISDOM PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
MACON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-746-5469
Provider Business Practice Location Address Fax Number:
478-750-7841
Provider Enumeration Date:
07/31/2006