Organization
EVERGREEN PHYSICAL THERAPY PS
Active
Organization
EVERGREEN PHYSICAL THERAPY PS
Active
Other names
Jay A. Smith, Evergreen Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA R SMITH (OFFICE ADMIN)
(360) 428-6677
Entity
Organization
Contact information
Practice address
2226 MARKET ST STE C, MOUNT VERNON, WA 98273-5451
(360) 428-6677
(360) 428-7635
Mailing address
PO BOX 1789, MOUNT VERNON, WA 98273-1789
(360) 428-6677
(360) 428-7635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/13/2005
Last updated
06/10/2024
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