Organization
COASTAL CONCIERGE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA BROWN (SOLE MBR)
(330) 704-8907
Entity
Organization
Contact information
Practice address
4213 MARBLEWOOD LN, JACKSONVILLE, FL 32216-3614
(330) 704-8907
Mailing address
4213 MARBLEWOOD LN, JACKSONVILLE, FL 32216-3614
(330) 704-8907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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