Organization
COAST PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN JOHNSON DPT, ATC (OWNER/PHYSICAL THERAPIST)
(321) 607-2454
Entity
Organization
Contact information
Practice address
500 N. WASHINGTON AVE, STE 107, TITUSVILLE, FL 32796
(321) 269-0800
(321) 383-0404
Mailing address
500 N. WASHINGTON AVE, STE 107, TITUSVILLE, FL 32796
(321) 269-0800
(321) 383-0404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886365200
—
FL
Enumeration date
11/15/2006
Last updated
02/22/2024
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