Provider First Line Business Practice Location Address:
1310 24TH AVE S
Provider Second Line Business Practice Location Address:
PROSTHETICS & SENSORY AIDS SERVICE (3G124)
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37212-2637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-873-7770
Provider Business Practice Location Address Fax Number:
615-873-8261
Provider Enumeration Date:
03/17/2014