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OrganizationMedicare enrolled

Evergreen Physical Therapy Inc

Physical Therapist · San Diego, CA

Source: NPPES NPI RegistryFetched 2026-10-20

Public record

NPI
1000000419
Enumeration date
2026-06-01
Last updated
2026-10-23
Practice location
922 Elm St
San Diego, CA 92101
Mailing address
PO Box 9467
San Diego, CA 92101
Taxonomies
Medicare
Enrolled