Organization
COASTAL REHABILITATION & REGENERATIVE MEDICINE, LLC
Active
Organization
COASTAL REHABILITATION & REGENERATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD HUBER DO (PHYSICIAN/CEO)
(609) 233-8064
Entity
Organization
Contact information
Practice address
100 WATER GRANDE BLVD, LITTLE RIVER, SC 29566-8162
(609) 233-8064
Mailing address
6102 SANDEN RD NE, CEDAR RAPIDS, IA 52411-8026
(609) 233-8064
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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