| NPI | 1790401016 |
|---|---|
| Doing Business As | COAST INJURY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SANDY CLEMENS Access Manager 536-481-8532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-07-05 |