Provider First Line Business Practice Location Address:
201 W MADISON AVE
Provider Second Line Business Practice Location Address:
PHYSICAL THERAPY DEPARTMENT
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12095-2806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-762-4548
Provider Business Practice Location Address Fax Number:
518-736-1570
Provider Enumeration Date:
06/22/2015