Organization
COAST TO COAST REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRIAN FLOWERS (PHYSICAL THERAPIST)
(817) 797-7934
Entity
Organization
Contact information
Practice address
8553 N BEACH ST, SUITE 229, FORT WORTH, TX 76244-4919
(817) 797-7934
Mailing address
3650 TIMBERGLEN ROAD APT 3, DALLAS, TX 75287
(817) 797-7934
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1215200
TX
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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