Provider First Line Business Practice Location Address:
ONE RAPP ROAD
Provider Second Line Business Practice Location Address:
ADVANCED THERAPY, P.L.L.C.
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-867-3061
Provider Business Practice Location Address Fax Number:
518-867-3066
Provider Enumeration Date:
12/08/2016