Individual
LAURA CORRINE HEINEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-4163
(317) 944-8868
(317) 944-6680
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05012270A
IN
Other
Enumeration date
08/16/2021
Last updated
02/10/2022
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