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1700021151
EVERGREEN PHYSICAL THERAPY, INC
TWIN FALLS, ID
NPI
1700021151
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Entity Type
Organization
Authorized Contact
BRADLEY C WILLIAMS
Owner
208-736-0887
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1026)
Enumeration Date
2008-12-12
Last Update Date
2009-02-18
Business Address
EVERGREEN PHYSICAL THERAPY, INC
491 CASWELL AVE W
TWIN FALLS, ID 83301-3743
Phone number: 208-736-0887
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Mailing Address
EVERGREEN PHYSICAL THERAPY, INC
PO BOX 1886
TWIN FALLS, ID 83303-1886
Phone number: 208-736-0887
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