Provider First Line Business Practice Location Address:
32672 US HGWY 19 NORTH
Provider Second Line Business Practice Location Address:
MPM OUTPATIENT REHAB SERVICES, OCCUPATIONAL THERAPY
Provider Business Practice Location Address City Name:
PALM HARBOR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34684-3113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-772-2200
Provider Business Practice Location Address Fax Number:
813-635-7991
Provider Enumeration Date:
01/11/2008