Organization
HERITAGE ENTERPRISES, INC
Active
Other names
Green Tree Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M UNDERWOOD (SR VP & CFO)
(309) 823-7135
Entity
Organization
Contact information
Practice address
700 E WALNUT ST, BLOOMINGTON, IL 61701-3244
(309) 829-1268
(309) 829-3475
Mailing address
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701-3946
(309) 823-7139
(309) 829-5477
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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