Organization
GOLD COAST PHYSIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARMEAN PEDAWI OTR/L (OWNER/MANAGER)
(248) 918-8300
Entity
Organization
Contact information
Practice address
100 DECKER RD, WALLED LAKE, MI 48390-3625
(248) 896-1400
Mailing address
631 ANHINGA DR, EAST LANSING, MI 48823-8364
(248) 918-8300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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