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Organization
GULF COAST THERAPY ASSOCIATES INC.
Active
Organization
GULF COAST THERAPY ASSOCIATES INC.
Active
Other names
Aegis Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
BRITT JEFFCOAT (VICE PRESIDENT - FINANCE)
(972) 372-6799
Entity
Organization
Contact information
Practice address
2110 FLEISCHMANN RD, TALLAHASSEE, FL 32308-0562
(941) 624-6222
(941) 624-6821
Mailing address
4933 OLD GREENWOOD RD, FORT SMITH, AR 72903-6906
(479) 201-6147
(479) 401-2239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA6185
FL
225100000X
Physical Therapist
Primary
PT15960
FL
225X00000X
Occupational Therapist
OT11068
FL
225XH1200X
Hand Occupational Therapist
OT1055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R6F
BCBS
FL
Enumeration date
01/04/2007
Last updated
11/22/2021
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