Evergreen Physical Therapy, INC
NPI #1700021151 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1700021151
- Entity Type
- Organization
- Organization Name
- Evergreen Physical Therapy, INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 12, 2008
- Last Updated
- Feb 18, 2009
Practice Location
- Address
- 491 CASWELL AVE W
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3743
- Phone
- (208) 736-0887
Authorized Official
- Name
- BRADLEY C WILLIAMS, RPT
- Title
- OWNER
- Phone
- (208) 736-0887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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