Provider First Line Business Practice Location Address:
5735 COLLEGE PKWY
Provider Second Line Business Practice Location Address:
ENCORE REHAB AT BOOTH BLDG
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36613-2842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-660-1505
Provider Business Practice Location Address Fax Number:
251-660-9007
Provider Enumeration Date:
02/23/2007