| NPI | 1831489475 |
|---|---|
| Doing Business As | COAST PHYSICAL THERAPY AND SPORTS REHAB |
| Entity Type | Organization |
| Authorized Contact | SIMON BONZO CEO 310-732-0036 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2024-03-27 |