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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
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
04/17/2026
Last updated
06/12/2026
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