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Evergreen Health & Rehab INC

Occupational Therapist in Yorktown, IN. Organization (NPI-2).

NPI number1043780331
StatusActive
Last updated in NPPESNov 29, 2018

Details

NPI
1043780331
Entity type
Organization (NPI-2)
Legal business name
Evergreen Health & Rehab INC
Organization subpart
No
Enumeration date
Nov 29, 2018
Last updated
Nov 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

205 Jade Dr
Yorktown, IN 47396-9263

Phone 765-729-3165

Mailing address

205 Jade Dr
Yorktown, IN 47396-9263

Phone 765-729-3165

Authorized official

Dumisani Mlungwana
President
7657293165

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