Organization
COASTAL THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CHERMAK (PRESIDENT)
(619) 523-9874
Entity
Organization
Contact information
Practice address
3405 KENYON ST, SUITE 212, SAN DIEGO, CA 92110-5005
(619) 523-9874
(619) 523-9875
Mailing address
3405 KENYON ST, SUITE 212, SAN DIEGO, CA 92110-5005
(619) 523-9874
(619) 523-9875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33120
CA
Other
Enumeration date
01/02/2007
Last updated
03/10/2015
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