Provider First Line Business Practice Location Address:
1493 BUTLER PLANK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENSHAW
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15116-2354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-486-6566
Provider Business Practice Location Address Fax Number:
412-487-7116
Provider Enumeration Date:
12/16/2006