Provider First Line Business Practice Location Address:
84 WELLNESS WAY
Provider Second Line Business Practice Location Address:
BLDG 3
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-9720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-351-6545
Provider Business Practice Location Address Fax Number:
412-273-1958
Provider Enumeration Date:
12/23/2009