Provider First Line Business Practice Location Address:
192 TILLEY DRIVE
Provider Second Line Business Practice Location Address:
ORTHOPEDIC SPECIALTY CENTER
Provider Business Practice Location Address City Name:
SOUTH BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-847-8911
Provider Business Practice Location Address Fax Number:
802-847-8499
Provider Enumeration Date:
05/17/2007