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
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—
Other
Enumeration date
12/08/2006
Last updated
02/02/2023
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