Provider First Line Business Practice Location Address:
204 ANTHONY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRISON CITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15636-1224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-871-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2026