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Organization
EVERGREEN REHABILITATION SERVICES, LLC
Active
Organization
EVERGREEN REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISA M GREEN MSPT (OWNER)
(850) 591-0809
Entity
Organization
Contact information
Practice address
5026 MCLAUGHLIN DR, TALLAHASSEE, FL 32309-2744
(850) 591-0809
Mailing address
5026 MCLAUGHLIN DR, TALLAHASSEE, FL 32309-2744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15549
FL
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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