Organization
COAST PHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY D NIELSEN PT (OWNER)
(732) 604-0626
Entity
Organization
Contact information
Practice address
140 METEDECONK RD, BRICK, NJ 08723-5442
(646) 321-9579
Mailing address
140 METEDECONK RD, BRICK, NJ 08723-5442
(732) 604-0626
(732) 929-7407
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
09/21/2021
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