Organization
HEARTLAND PHYSICAL MEDICINE & REHABILITATION PC
Active
Other names
Pain Management & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA SENIOR MSW LCSW (OFFICE MANAGER)
(812) 298-9797
Entity
Organization
Contact information
Practice address
1019 E SPRINGHILL DR, TERRE HAUTE, IN 47802
(812) 298-9797
(812) 298-0343
Mailing address
PO BOX 7058, TERRE HAUTE, IN 47802
(812) 298-9797
(812) 298-0343
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
IN01022230
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253070A
—
IN
Enumeration date
05/19/2006
Last updated
07/02/2010
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