Organization
COASTAL PHYSICAL MEDICINE & REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE MACK (PRACTICE ADMIN)
(252) 633-8024
Entity
Organization
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8024
(252) 633-8994
Mailing address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8024
(252) 633-8994
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790198E
—
NC
Enumeration date
07/16/2006
Last updated
06/03/2010
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