Evergreen Therapy, Inc.

NPI #1205444809 in Anaheim, California

Provider Information

NPI Number: 1205444809
Entity Type: Organization
Organization Name: Evergreen Therapy, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Jul 20, 2020
Last Updated: Jul 20, 2020

Practice Location

Address: 125 S CHAPARRAL CT STE 205
City: Anaheim
State: California
ZIP Code: 92808-2263
Phone: (657) 284-2115

Authorized Official

Name: JOEL MANALILI II
Title: OWNER
Phone: (657) 284-2115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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