Organization
COASTAL PHYSICAL THERAPY, INC.
Active
Other names
Coastal Physical Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK P.M. RICHARDS PT (PRESIDENT)
(805) 658-6964
Entity
Organization
Contact information
Practice address
5725 RALSTON ST STE 103, VENTURA, CA 93003-6053
(805) 658-6964
(805) 477-0370
Mailing address
5725 RALSTON STREET SUITE 103, VENTURA, CA 93003
(805) 658-6964
(805) 477-0370
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609872639
NPI
CA
Enumeration date
04/23/2007
Last updated
08/22/2020
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