Organization
EVERGREEN HEALTH & REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUMISANI MLUNGWANA OCCUPATIONAL THERAPI (PRESIDENT)
(765) 729-3165
Entity
Organization
Contact information
Practice address
205 JADE DR, YORKTOWN, IN 47396-9263
(765) 729-3165
Mailing address
205 JADE DR, YORKTOWN, IN 47396-9263
(765) 729-3165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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