Organization
COASTAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUANN MADDOX KING (PHYSICAL THERAPIST)
(757) 336-5134
Entity
Organization
Contact information
Practice address
6751 MADDOX BLVD, CHINCOTEAGUE, VA 23336-2253
(757) 336-5134
Mailing address
6751 MADDOX BLVD, CHINCOTEAGUE, VA 23336-2253
(757) 336-5134
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
VA
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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