# COASTAL REHABILITATION ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Rehabilitation Medicine Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851348981
- **Authorized official:** MR. STEPHEN THOMAS WALTERS (ADMINISTRATOR)
- **Authorized official phone:** (910) 794-8892

## Contact information

- **Practice address:** 2800 ASHTON DR, SUITE 100, WILMINGTON, NC 28412-2486
- **Practice address phone:** (910) 794-8892
- **Practice address fax:** (910) 794-8895
- **Mailing address:** PO BOX 4217, WILMINGTON, NC 28406-1217
- **Mailing address phone:** (910) 794-8892
- **Mailing address fax:** (910) 794-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 12/17/2012