Evergreen Health & Rehab,inc

NPI #1245701598 in Yorktown, Indiana

Provider Information

NPI Number: 1245701598
Entity Type: Organization
Organization Name: Evergreen Health & Rehab,inc
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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