Organization
COST TO COAST REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRIAN FLOWERS (PHYSICAL THERAPIST)
(228) 366-0281
Entity
Organization
Contact information
Practice address
564 CYPRESS LN APT 27A, GREENVILLE, MS 38701-7425
(228) 366-0281
Mailing address
564 CYPRESS LN APT 27A, GREENVILLE, MS 38701-7425
(228) 366-0281
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PT4308
MS
261QP2000X
Physical Therapy Clinic/Center
PT4308
MS
283X00000X
Rehabilitation Hospital
Primary
PT4308
MS
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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