Provider First Line Business Practice Location Address:
2286-1 WEDNESDAY STREET
Provider Second Line Business Practice Location Address:
INNOVATIVE REHAB CARE
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-219-7826
Provider Business Practice Location Address Fax Number:
850-383-1322
Provider Enumeration Date:
09/07/2006