Organization
COASTAL THERAPEUTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA ELIZABETH CONNELLY PT (PRESIDENT)
(843) 884-4783
Entity
Organization
Contact information
Practice address
570 LONG POINT RD, SUITE 270, MOUNT PLEASANT, SC 29464-7932
(843) 884-4783
(843) 884-4783
Mailing address
570 LONG POINT RD, SUITE 270, MOUNT PLEASANT, SC 29464-7932
(843) 884-4783
(843) 884-4783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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