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Organization
EVERGREEN THERAPY, INC.
Active
Organization
EVERGREEN THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MANALILI II (OWNER)
(657) 284-2115
Entity
Organization
Contact information
Practice address
125 S CHAPARRAL CT STE 205, ANAHEIM, CA 92808-2263
(657) 284-2115
Mailing address
PO BOX 28912, ANAHEIM, CA 92809-0163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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