Organization
COASTAL MOBILE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY MORRISON (PRESIDENT)
(805) 229-1147
Entity
Organization
Contact information
Practice address
2726 BRISA BLANDA DR, ARROYO GRANDE, CA 93420-5504
(408) 402-2015
Mailing address
2726 BRISA BLANDA DR, ARROYO GRANDE, CA 93420-5504
(408) 402-2015
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
05/22/2020
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