Organization
COASTSIDE PHYSICAL THERAPY
Active
Other names
Coastside Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
443 GRAND AVE, SOUTH SAN FRANCISCO, CA 94080-3635
(650) 588-9668
(650) 588-3230
Mailing address
PO BOX 612260, SAN JOSE, CA 95161-2260
(877) 325-2776
(408) 945-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/18/2005
Last updated
12/17/2010
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