Provider First Line Business Practice Location Address:
510 22ND AVE E
Provider Second Line Business Practice Location Address:
SUITE# 801 ADVANCE ORTHOTICS & PROSTHETICS,
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56308-4653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-762-2210
Provider Business Practice Location Address Fax Number:
320-762-2753
Provider Enumeration Date:
09/19/2007