| NPI | 1891780151 |
|---|---|
| Former Legal Business Name | JAY A. SMITH |
| Doing Business As | EVERGREEN PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA R SMITH Office Admin 360-428-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2024-06-10 |