Provider First Line Business Practice Location Address:
100 WELLNESS WAY
Provider Second Line Business Practice Location Address:
BLDG 2
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-9706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-250-6001
Provider Business Practice Location Address Fax Number:
724-250-6004
Provider Enumeration Date:
01/20/2006