| NPI | 1811971674 |
|---|---|
| Doing Business As | COASTSIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ANNE LASSON Vice Presdent 408-570-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-10-08 |