Organization
COASTAL PHYSICAL THERAPY INC
Active
Organization
COASTAL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK RICHARDS P.T. (PRESIDENT)
(805) 658-6964
Entity
Organization
Contact information
Practice address
5725 RALSTON ST, #103, VENTURA, CA 93003-6053
(805) 658-6964
(805) 477-0370
Mailing address
5725 RALSTON ST, #103, VENTURA, CA 93003-6053
(805) 658-6964
(805) 477-0370
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
PT25537
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT26197
CA
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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