| NPI | 1033241302 |
|---|---|
| Doing Business As | GOLD COAST PHYSICAL THERAPY AND SPORTS TRAININ |
| Entity Type | Organization |
| Authorized Contact | DONNA GERACI Office Manager 631-486-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |