Provider First Line Business Practice Location Address:
55 MILLER ST
Provider Second Line Business Practice Location Address:
CAPITAL AREA INTERMEDIATE UNIT
Provider Business Practice Location Address City Name:
SUMMERDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17093-0489
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-732-8400
Provider Business Practice Location Address Fax Number:
717-732-8414
Provider Enumeration Date:
11/01/2006