# COAST TO COAST REHAB LLC

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

## Provider details

- **NPI number:** 1164724118
- **Authorized official:** ABRIAN NORELL FLOWERS PHYSICAL THERAPIST (PHYSICAL THERAPIST)
- **Authorized official phone:** (228) 366-0281

## Contact information

- **Practice address:** 3537 DENNY AVE, SUITE 115, PASCAGOULA, MS 39581
- **Practice address phone:** (228) 366-0281
- **Mailing address:** P.O. BOX 1702, GAUTIER, MS 39581
- **Mailing address phone:** (228) 366-0281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT4308 | MS | Yes |
| 225400000X | Rehabilitation Practitioner | PT4308 | MS | — |
| 225C00000X | Rehabilitation Counselor | PT4308 | MS | — |

## Other

- **Enumeration date:** 11/24/2010
- **Last updated:** 11/24/2010