| NPI | 1013203975 |
|---|---|
| Doing Business As | GOLD COAST PHYSICAL THERAPY AND SPORTS TRAINING |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN S STRATTON Credentaling 631-262-7855 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |