Organization
EVERGREEN PHYSICAL THERAPY SPECIALISTS, INC
Active
Organization
EVERGREEN PHYSICAL THERAPY SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA WANG (DIRECTOR OF RESOURCE MANAGEMENT)
(626) 683-8536
Entity
Organization
Contact information
Practice address
111 S HUDSON AVE, PASADENA, CA 91101-2606
(626) 683-8536
(626) 683-8236
Mailing address
PO BOX 50004, PASADENA, CA 91115-0004
(626) 683-8536
(626) 683-8236
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT18149
CA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/08/2006
Last updated
02/02/2023
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