| NPI | 1912575069 |
|---|---|
| Doing Business As | BOLD COAST REHABILITATION SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTINE A MESMAN Manager 901-205-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-06-07 |