| NPI | 1609811454 |
|---|---|
| Doing Business As | COASTHERAPY |
| Entity Type | Organization |
| Authorized Contact | STACY M BEVINGTON Contract Manager 714-963-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |