Organization
COAST TO COAST THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PERUNOVICH OTR/L (CEO)
(619) 618-9638
Entity
Organization
Contact information
Practice address
3980 9TH AVE # 1, SAN DIEGO, CA 92103-3244
(619) 618-9638
Mailing address
3980 9TH AVE # 1, SAN DIEGO, CA 92103-3244
(619) 618-9638
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
CA
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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