Organization
COASTAL PHYSICAL THERAPY, INC.
Active
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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