| NPI | 1215648043 |
|---|---|
| Doing Business As | COASTAL EDEMA CARE |
| Entity Type | Organization |
| Authorized Contact | TAMMY ELIZABETH MONDRY Doctor Of Physical Therapy 760-622-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-09-12 |