# COASTAL CAROLINA PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Carolina Physical Therapy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083284798
- **Authorized official:** THOMAS HUNTER NADEAU PT,DPT (PHYSICAL THERAPIST/ MEMBER)
- **Authorized official phone:** (207) 436-5324

## Contact information

- **Practice address:** 3014 S MORGANS PT RD STE D, MOUNT PLEASANT, SC 29466-7189
- **Practice address phone:** (843) 284-8092
- **Mailing address:** 2216 MARINERS FRY, CHARLESTON, SC 29414-5808
- **Mailing address phone:** (207) 436-5324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2021
- **Last updated:** 11/29/2023