| NPI | 1114096518 |
|---|---|
| Doing Business As | COAST PHYSICAL THERAPY & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KEVIN VAUGHN CEO 530-892-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-03-14 |