Provider First Line Business Practice Location Address:
11855 H G TRUEMAN RD
Provider Second Line Business Practice Location Address:
GATEAU PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
LUSBY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20657
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-326-3432
Provider Business Practice Location Address Fax Number:
410-326-2493
Provider Enumeration Date:
03/20/2007