Provider First Line Business Practice Location Address:
23168 SAINT FRANCIS BLVD NW
Provider Second Line Business Practice Location Address:
SUITE 300 ST. FRANCIS NOVACARE REHABILIATION
Provider Business Practice Location Address City Name:
ST FRANCIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55070-9805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-753-9301
Provider Business Practice Location Address Fax Number:
763-753-9305
Provider Enumeration Date:
02/28/2006