Provider First Line Business Practice Location Address:
600 EAST MAIN
Provider Second Line Business Practice Location Address:
SUITE 200 KELLY LYNCH PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
WATERTOWN
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-206-1000
Provider Business Practice Location Address Fax Number:
920-206-1010
Provider Enumeration Date:
04/19/2006