Provider First Line Business Practice Location Address:
112 S 20TH ST
Provider Second Line Business Practice Location Address:
BALANCE HEALTH CENTER
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19103-4452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-751-0344
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2013