Provider First Line Business Practice Location Address:
208 LAKEMONT PARK BOULEVARD
Provider Second Line Business Practice Location Address:
EARLY INTERVENTION
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-944-8177
Provider Business Practice Location Address Fax Number:
814-942-1673
Provider Enumeration Date:
05/15/2008