# COASTAL PEDIATRIC THERAPIES, LLC

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

## Provider details

- **NPI number:** 1205338944
- **Authorized official:** MRS. ANNA F SALTER CCC-SLP (CO-OWNER)
- **Authorized official phone:** (912) 354-4474

## Contact information

- **Practice address:** 413 W MONTGOMERY XRD STE 102, SAVANNAH, GA 31406-4321
- **Practice address phone:** (912) 354-4474
- **Practice address fax:** (912) 354-4443
- **Mailing address:** 413 W MONTGOMERY XRD STE 102, SAVANNAH, GA 31406-4321
- **Mailing address phone:** (912) 354-4474
- **Mailing address fax:** (912) 354-4443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 03/07/2018
- **Last updated:** 11/05/2018
