Organization
COAST TO COAST PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JAMES BOLTON MD (MEMBER)
(614) 855-9961
Entity
Organization
Contact information
Practice address
324 MAIN STREET, SUITE 5 & 6, OWENTON, KY 40359
(502) 514-2669
Mailing address
5195 HAMPSTED VILLAGE CENTER WAY, SUITE 256, NEW ALBANY, OH 43054-8331
(614) 855-9961
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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