Provider First Line Business Practice Location Address:
9279 OLDE SCOTLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIPPENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17257-7705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-477-0411
Provider Business Practice Location Address Fax Number:
717-678-6323
Provider Enumeration Date:
10/21/2026