Provider First Line Business Practice Location Address:
2519 SOUTH LAKELINE BLVD, SUITE 100
Provider Second Line Business Practice Location Address:
TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER,INC
Provider Business Practice Location Address City Name:
CEDAR PARK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78613-2964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-331-6200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2008