Provider First Line Business Practice Location Address:
ORTHOTICS SPECIALIST DBA HILL COUNTRY ORTHOTICS AND PRO
Provider Second Line Business Practice Location Address:
6631 S ZARZAMORA ST
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-977-0166
Provider Business Practice Location Address Fax Number:
210-977-0168
Provider Enumeration Date:
11/26/2007