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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