| NPI | 1679802599 |
|---|---|
| Doing Business As | COASTLINE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANETTE MICHELLE LAURICIA Credentialing Manager 321-253-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2022-10-11 |