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Organization
WEST COAST THERAPY SPECIALIST LLC
Active
Organization
WEST COAST THERAPY SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JO EWING (OWNER)
(917) 336-8422
Entity
Organization
Contact information
Practice address
4707 140TH AVE N STE 313, CLEARWATER, FL 33762-3841
(727) 223-8978
(727) 303-3952
Mailing address
4707 140TH AVE N STE 313, CLEARWATER, FL 33762-3841
(727) 223-8978
(727) 303-3952
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/07/2012
Last updated
04/30/2024
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