Provider First Line Business Practice Location Address:
INNOVATIVE REHABILITATION
Provider Second Line Business Practice Location Address:
8800 5102ND ST
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-448-3097
Provider Business Practice Location Address Fax Number:
414-425-9701
Provider Enumeration Date:
11/22/2006