Organization
COASTAL CARE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIRAO S MARYCYST DPT (OWNER)
(302) 524-8333
Entity
Organization
Contact information
Practice address
6 ELLIS ALLEY, UNIT 6, SELBYVILLE, DE 19975
(302) 524-8333
(302) 524-8891
Mailing address
37197 E STONEY RUN, SELBYVILLE, DE 19975-4325
(302) 524-8333
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
09/16/2025
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