Evergreen Health & Rehab INC

NPI #1043780331 in Yorktown, Indiana

Provider Information

NPI Number: 1043780331
Entity Type: Organization
Organization Name: Evergreen Health & Rehab INC
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 29, 2018
Last Updated: Nov 29, 2018

Practice Location

Address: 205 JADE DR
City: Yorktown
State: Indiana
ZIP Code: 47396-9263
Phone: (765) 729-3165

Authorized Official

Name: DUMISANI MLUNGWANA, OCCUPATIONAL THERAPI
Title: PRESIDENT
Phone: (765) 729-3165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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