Provider First Line Business Practice Location Address: 
1321 W BROAD STREET
    Provider Second Line Business Practice Location Address: 
QUAKERTOWN REHAB CENTER DBA ST LUKES PHYSICAL THERAPY
    Provider Business Practice Location Address City Name: 
QUAKERTOWN
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
18951-1107
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
215-538-9560
    Provider Business Practice Location Address Fax Number: 
215-538-1051
    Provider Enumeration Date: 
10/05/2006