Provider First Line Business Practice Location Address:
1120 PERRY HWY
Provider Second Line Business Practice Location Address:
THE CARRIAGE HOUSE
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-364-0358
Provider Business Practice Location Address Fax Number:
412-364-1072
Provider Enumeration Date:
04/06/2006