Coastal Physical Therapy Llc

NPI 1043375520 - Physical Therapist - 225100000X

NPI Details
NPI 1043375520
Enumeration Date 12/26/2006
Last Updated 09/30/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRADLEY G BRADLEY
Position OWNER, MANAGING MEMBER
Phone (541) 469-7314
Fax (541) 469-3669
Practice Location
580 5TH ST
SUITE 600
BROOKINGS OR, 97415-8329, US
Phone (541) 469-7314
Fax (541) 469-3669
Business Location
580 5TH ST
SUITE 600
BROOKINGS OR, 97415-8329, US
Phone (541) 469-7314
Fax (541) 469-3669
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 3984
Remove 1043375520 NPI Number
 

According to our database, Coastal Physical Therapy Llc NPI is 1043375520, taxonomy code is 225100000X and license number is 3984, license state is located at Oregon. Coastal Physical Therapy Llc physically located at 580 5th St, Brookings OR, 97415-8329. NPI Number 1033115704 has the healthcare provider type.

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1043375520 NPI number is provided on an as is basis without warranty of any kind. 1043375520 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Physical Therapy Llc are for informational purposes only.