Evergreen Physical Therapy

NPI 1639267438

Information of Evergreen Physical Therapy

The NPI 1639267438 is an Organization type. NPI No 1639267438 belongs to Evergreen Physical Therapy. Evergreen Physical Therapy specializes in Physical Therapy. is practising at 1624 E Capitol Expy, San Jose, California 95121. You can also contact him via phone number (408) 270-2280.

Practice address located

  • 1624 E Capitol Expy
  • San Jose, California 95121
  • (408) 270-2280
  • (408) 270-2280

Mailling address located

  • 1624 E Capitol Expy
  • San Jose, California 95121
  • (408) 270-2280
  • (408) 270-1902
NPI No 1639267438
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes261QP2000XPhysical Therapy14729California
Identifier for this provider
StateIdentifierTypeIssuer
CAOPT147290Medicare ID-Type UnspecifiedMEDICARE PROVIDER NUMBER
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