Organization
EVERGREEN SPORT & SPINE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PETITT (PRACTICE MANAGER)
(303) 670-4802
Entity
Organization
Contact information
Practice address
26719 PLEASANT PARK RD UNIT 220, CONIFER, CO 80433-7756
(303) 838-1970
(303) 838-2433
Mailing address
26719 PLEASANT PARK RD UNIT 220, CONIFER, CO 80433-7756
(303) 838-1970
(303) 838-2433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
04/18/2018
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