# GULF COAST PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1518689678
- **Authorized official:** KENNEDY STIBAL (ADMINISTRATOR)
- **Authorized official phone:** (208) 541-7849

## Contact information

- **Practice address:** 1600 HOSPITAL AVE, FRANKLIN, LA 70538-3725
- **Practice address phone:** (337) 828-3600
- **Mailing address:** 4750 SHERWOOD COMMON BLVD, BATON ROUGE, LA 70816-4870
- **Mailing address phone:** (208) 541-7849

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2022
- **Last updated:** 09/15/2022