Organization
COASTAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON THAYER (PRESIDENT/OWNER)
(843) 216-0290
Entity
Organization
Contact information
Practice address
120 SPRINGHALL DR, GOOSE CREEK, SC 29445-5335
(843) 216-0290
(843) 216-2445
Mailing address
1127 QUEENSBOROUGH BLVD, SUITE 104, MT PLEASANT, SC 29464-5431
(843) 216-0290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5866
SC
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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