Provider First Line Business Practice Location Address:
KUTZTOWN UNIVERSITY
Provider Second Line Business Practice Location Address:
KEYSTONE HALL, SPORTS MEDICINE OFFICE, RM 120
Provider Business Practice Location Address City Name:
KUTZTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-683-4085
Provider Business Practice Location Address Fax Number:
610-683-4664
Provider Enumeration Date:
10/23/2006