Organization
COAST TO COAST THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA LYNN INCAMPO (OWNER/SPEECH PATHOLOGIST)
(516) 497-2259
Entity
Organization
Contact information
Practice address
746 CHERRY ELM DR, SAINT AUGUSTINE, FL 32092-0136
(516) 497-2259
Mailing address
746 CHERRY ELM DR, SAINT AUGUSTINE, FL 32092-0136
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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