Provider First Line Business Practice Location Address:
153 E PIKE ST
Provider Second Line Business Practice Location Address:
APPROPRIATE PT
Provider Business Practice Location Address City Name:
CANONSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-1765
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-745-5646
Provider Business Practice Location Address Fax Number:
724-745-6062
Provider Enumeration Date:
10/22/2008