| NPI | 1770312845 | 
|---|---|
| Doing Business As | COASTAL INTEGRATIVE HEALTHCARE | 
| Entity Type | Organization | 
| Authorized Contact | TIMOTHY STEFLIK Owner / President 386-427-8403  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation | 
| Enumeration Date | 2024-07-29 | 
| Last Update Date | 2024-07-29 |