Provider First Line Business Practice Location Address:
1676 SUNSET AVE
Provider Second Line Business Practice Location Address:
THERAPY DEPT
Provider Business Practice Location Address City Name:
UTICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13502-5416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-801-8135
Provider Business Practice Location Address Fax Number:
315-801-8352
Provider Enumeration Date:
01/19/2017