# ALL COAST THERAPY SERVICES OUTPATIENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104889260
- **Authorized official:** MR. MICHAEL G HORSLEY PT (OWNER)
- **Authorized official phone:** (352) 751-6005

## Contact information

- **Practice address:** 13940 N US HIGHWAY 441, BUILDING 700, SUITE 702, LADY LAKE, FL 32159-8953
- **Practice address phone:** (352) 751-6005
- **Practice address fax:** (352) 751-5168
- **Mailing address:** 13940 NORTH US HWY 441, BUILDING 700, SUITE 702, LADY LAKE, FL 32159-8953
- **Mailing address phone:** (352) 751-6005
- **Mailing address fax:** (352) 751-5168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 07/10/2023