Provider First Line Business Practice Location Address:
1265 WAYNE AVE BLDG SUITE201
Provider Second Line Business Practice Location Address:
CENTER FOR WOUND HEALING
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-3501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-357-7008
Provider Business Practice Location Address Fax Number:
724-357-7414
Provider Enumeration Date:
11/16/2007