Organization
EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP
Active
Parent organization
EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP
Authorized official
JANNA P. KING JD (VP, AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
1206 N STATE ST, GLADWIN, MI 48624-1246
(989) 246-2311
(989) 246-2315
Mailing address
1300 W SAM HOUSTON PKWY S, SUITE 300, HOUSTON, TX 77042-2447
(713) 297-7000
(713) 297-7090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG6901
RAILROAD MEDICARE
MI
Enumeration date
08/14/2006
Last updated
11/10/2008
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