Evergreen Physical Therapy Pc

NPI 1073719845 - Physical Therapist - 225100000X

NPI Details
NPI 1073719845
Enumeration Date 06/26/2007
Last Updated 09/18/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLENE VAN DRIL CHARLENE
Position PHYSICAL THERAPIST
Phone (269) 381-0737
Fax (269) 381-5120
Practice Location
611 HOWARD ST
KALAMAZOO MI, 49008-1919, US
Phone (269) 381-0737
Fax (269) 381-5120
Business Location
611 HOWARD ST
KALAMAZOO MI, 49008-1919, US
Phone (269) 381-0737
Fax (269) 381-5120
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501005239
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According to our database, Evergreen Physical Therapy Pc NPI is 1073719845, taxonomy code is 225100000X and license number is 5501005239, license state is located at Michigan. Evergreen Physical Therapy Pc physically located at 611 Howard St, Kalamazoo MI, 49008-1919. NPI Number 1033115704 has the healthcare provider type.

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1073719845 NPI number is provided on an as is basis without warranty of any kind. 1073719845 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Physical Therapy Pc are for informational purposes only.