Provider First Line Business Practice Location Address:
EASTER SEALS
Provider Second Line Business Practice Location Address:
1611 HEADWAY CR. BLDG. 2
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-478-2581
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2007