Basic Information
| Provider Information | |||||||||
| NPI: | 1144322934 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PASADILLA | ||||||||
| FirstName: | JUNE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 726 W BRIARWOOD WAY APT F | ||||||||
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| City: | GREENSBURG | ||||||||
| State: | IN | ||||||||
| PostalCode: | 472407357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188855023 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5980 W 71ST ST STE 201 | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462781785 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3173880800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 05008792A | IN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.