Provider First Line Business Practice Location Address:
1 WALSH RD
Provider Second Line Business Practice Location Address:
CRAFTON-IMGRAM SHOPPING CENTER
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15205-2336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-922-3773
Provider Business Practice Location Address Fax Number:
412-922-6093
Provider Enumeration Date:
12/30/2005