Provider First Line Business Practice Location Address:
1314 E HIGH ST
Provider Second Line Business Practice Location Address:
POTTSTOWN CLUBHOUSE
Provider Business Practice Location Address City Name:
POTTSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19464-4950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-326-9112
Provider Business Practice Location Address Fax Number:
610-327-9051
Provider Enumeration Date:
04/11/2007