Provider First Line Business Practice Location Address:
7650 E. PARHAM RD. MOB II SUITE 120
Provider Second Line Business Practice Location Address:
REHABILITATION CENTER AT PARHAM DOCTORS' HOSPITAL
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23294-4367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-545-4952
Provider Business Practice Location Address Fax Number:
804-545-4953
Provider Enumeration Date:
10/30/2012