Provider First Line Business Practice Location Address:
300 FIRST AVE
Provider Second Line Business Practice Location Address:
SPAULDING REHABILITATION HOSPITAL
Provider Business Practice Location Address City Name:
CHARLESTOWN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-952-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/25/2014