Provider First Line Business Practice Location Address:
232 SHORTLIDGE RD BLDG GYM
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STATE COLLEGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16802-4544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-826-8408
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/17/2025