# COASTAL HEALTHRX LLC

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

## Provider details

- **NPI number:** 1194471441
- **Authorized official:** THERESA HARVEY PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (703) 507-0377

## Contact information

- **Practice address:** 3931 SPANNER WAY, MURRELLS INLET, SC 29576-6151
- **Practice address phone:** (703) 507-0377
- **Mailing address:** 3931 SPANNER WAY, MURRELLS INLET, SC 29576-6151
- **Mailing address phone:** (703) 507-0377

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2022
- **Last updated:** 02/25/2022