Online Order Placed 01/26/2017 Shipped 01/27/17
Ordered By: Lisa A./ Bloomington, IN
RX: Custom X1 Blade Light Model for ADL
Diagnosis:Hallux Rigidus/Arthritis/Great Toe Pain
ICD-10-CM Diagnosis Code: M20.2
Sport: Walking
Website: www.indianabrace.com
Phone: 1-800-253-6217 ask for Clyde
Email: clyde.peach@indianabrace.com
Clyde Peach, CO - ABC Certified Orthotist #1321
ABC - American Board for Certification in Orthotics and Prosthetics
All X1 Blades are Made in Indianapolis, Indiana - USA
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