| NPI | 1851348981 |
|---|---|
| Former Legal Business Name | COASTAL REHABILITATION MEDICINE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS WALTERS Administrator 910-794-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-12-17 |