| NPI | 1780675488 |
|---|---|
| Doing Business As | HERITAGE ENTERPRISES, INC. DBA GREEN TREE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID M UNDERWOOD Sr. VP & CFO 309-828-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL -61702-17) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2022-07-21 |