Organization
COASTAL MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN STEVEN GLESSNER ATP (CEO)
(925) 308-3101
Entity
Organization
Contact information
Practice address
5758 CUTTER LOOP, DISCOVERY BAY, CA 94505-9505
(925) 308-3101
Mailing address
5758 CUTTER LOOP, DISCOVERY BAY, CA 94505-9505
(925) 308-3101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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