Organization
COASTLINE PHYSICAL THERAPY, INC
Active
Other names
Coastline PT
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SHANNON LUDLOFF PT (CEO)
(562) 304-9916
Entity
Organization
Contact information
Practice address
4130 N VIKING WAY STE 100, LONG BEACH, CA 90808-1408
(562) 304-9916
Mailing address
4130 N VIKING WAY STE 100, LONG BEACH, CA 90808-1408
(562) 304-9916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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