Organization
COASTAL REHABILITATION INC
Active
Parent organization
COASTAL REHABILITATION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL REHABILITATION INC
Authorized official
MEGAN ELIZABETH MORNINGSTAR (PRACTICE MANAGER)
(252) 338-2114
Entity
Organization
Contact information
Practice address
503 CYPRESS LN, SUITE A, MANTEO, NC 27954-8016
(252) 473-9633
(252) 473-9635
Mailing address
101 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-2114
(252) 338-2115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002W
BCBS FACILITY
—
01
—
07763
BCBS
—
05
—
7200037
—
NC
05
—
7700350
—
NC
Enumeration date
04/17/2007
Last updated
09/22/2022
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