Provider First Line Business Practice Location Address:
126 MISSOURI AVE BLDG 310
Provider Second Line Business Practice Location Address:
PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
FORT LEONARD WOOD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65473-8952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-596-1707
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2011