Provider First Line Business Practice Location Address:
6401 FRANCE AVE S
Provider Second Line Business Practice Location Address:
REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
Provider Business Practice Location Address City Name:
EDINA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55435-2104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-924-1313
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2016