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.