| NPI | 1417431461 |
|---|---|
| Doing Business As | GULF COAST THERAPY |
| Entity Type | Organization |
| Authorized Contact | JULIE MARY BONOMO Administrator 409-242-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |