Provider First Line Business Practice Location Address:
141 MAPLE AVE.
Provider Second Line Business Practice Location Address:
PENDLETON OUTPATIENT THERAPY,
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-358-2325
Provider Business Practice Location Address Fax Number:
304-358-2334
Provider Enumeration Date:
06/28/2011