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Organization
COASTAL PHYSICAL THERAPY INC
Active
Organization
COASTAL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A HETHERINGTON PT OCS FAAOMPT CFMT (OWNER)
(843) 986-9670
Entity
Organization
Contact information
Practice address
18 PROFESSIONAL VILLAGE CIRCLE, BEAUFORT, SC 29907
(843) 986-9670
(843) 986-9369
Mailing address
18 PROFESSIONAL VILLAGE CIRCLE, BEAUFORT, SC 29907
(843) 986-9670
(843) 986-9369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
SC2123
SC
Other
Enumeration date
05/02/2006
Last updated
09/22/2011
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