Evergreen Therapy Llc
LBN: Evergreen Therapy Llc
Evergreen Therapy Llc is an health care organization with primary practice located at 601 Griffin Pl Apt A, Fort Collins CO 80521-1896. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty.
Evergreen Therapy Llc can be contacted via phone (303) 579-0322, or through Pederson, Barry Darren Matsuo via phone (303) 579-0322.
Contact Information
Primary practice address
601 Griffin Pl Apt A
Fort Collins CO 80521-1896
Phone: (303) 579-0322
Fax:
Website:
Authorized official contact:
Name: Pederson, Barry Darren Matsuo Registered Occupational Therapist (OTR)
Phone: (303) 579-0322
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3123 | Colorado |
Profile Details
NPI number | 1881039451 |
---|---|
LBN Legal business name | Evergreen Therapy Llc |
DBA Doing business as | |
Authorized official | Pederson, Barry Darren Matsuo Registered Occupational Therapist (OTR) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 8th, 2013 |
Last updated | May 8th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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