Provider First Line Business Practice Location Address:
166 S MCCOY PLACE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEWICKLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15143-8837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-741-4117
Provider Business Practice Location Address Fax Number:
412-741-4117
Provider Enumeration Date:
02/08/2006