| NPI | 1710750344 |
|---|---|
| Doing Business As | COASTAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | GLEN CARLOS SWOOPES Owner/PT 805-598-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-03-07 |