Directions can be provided when we communicate by telephone or email, or you can click on either mapquest.com or maps.yahoo.com.  
 
506 E. Lancaster Avenue 
Suite 2
Downingtown, PA 19335
 
Tel:    (610) 518-1876
Fax:   (610) 518-1839
Email:   DrJim@Karustis.com
 
Please feel free to contact me!  I would be glad to answer any questions that you may have. Email is generally the quickest way to get a response from me.