Organization
COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA P.A.
Active
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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