Provider First Line Business Practice Location Address:
WILFORD HALL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
2200 BERQUIST DR, PHYSICAL THERAPY CLINIC
Provider Business Practice Location Address City Name:
LACKLAND AFB
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-292-5023
Provider Business Practice Location Address Fax Number:
210-292-7991
Provider Enumeration Date:
11/01/2005