Evergreen Physical Therapy Ps

NPI #1891780151 in Mount Vernon, Washington

Provider Information

NPI Number: 1891780151
Entity Type: Organization
Organization Name: Evergreen Physical Therapy Ps
Primary Specialty: Physical Therapist
Enumeration Date: Sep 13, 2005
Last Updated: Jun 10, 2024

Practice Location

Address: 2226 MARKET ST STE C
City: Mount Vernon
State: Washington
ZIP Code: 98273-5451
Phone: (360) 428-6677

Authorized Official

Name: MR. JOSHUA R SMITH
Title: OFFICE ADMIN
Phone: (360) 428-6677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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