Provider First Line Business Practice Location Address:
6641 OGDEN AVE
Provider Second Line Business Practice Location Address:
PHYSICAL THERAPY ASSOCIATES LTD
Provider Business Practice Location Address City Name:
BERWYN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60402-5539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-749-4460
Provider Business Practice Location Address Fax Number:
708-749-4463
Provider Enumeration Date:
02/09/2007