Organization
COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA P.A.
Active
Other names
Coastal Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY R BORGGREN (CREDENTIALING SURPERVISOR)
(941) 782-0102
Entity
Organization
Contact information
Practice address
8000 STATE ROAD 64 E, BRADENTON, FL 34212-7703
(941) 792-1404
(941) 794-1863
Mailing address
8000 STATE ROAD 64 E, BRADENTON, FL 34212-7703
(941) 792-1404
(941) 794-1863
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225000000X
Orthotic Fitter
—
—
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
12/13/2006
Last updated
02/10/2025
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