Provider First Line Business Practice Location Address:
834 CHESTNUT STREET, SUITE G-114
Provider Second Line Business Practice Location Address:
THE PHILADELPHIA HAND CENTER
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-521-3012
Provider Business Practice Location Address Fax Number:
215-521-3002
Provider Enumeration Date:
04/13/2011