Provider First Line Business Practice Location Address:
1007 WAYNE AVENUE
Provider Second Line Business Practice Location Address:
PTETC
Provider Business Practice Location Address City Name:
CHAMBERBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-3810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-5147
Provider Business Practice Location Address Fax Number:
717-263-3454
Provider Enumeration Date:
10/02/2006