Organization
COASTAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G. THAYER CCC-SLP (OWNER)
(843) 442-4960
Entity
Organization
Contact information
Practice address
1127 QUEENSBOROUGH BLVD., SUITE 104, MT. PLEASANT, SC 29464
(843) 216-0290
(843) 216-2445
Mailing address
1127 QUEENSBOROUGH BLVD., SUITE 104, MT. PLEASANT, SC 29464
(843) 216-0290
(843) 216-2445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
SC
225X00000X
Occupational Therapist
—
SC
235Z00000X
Speech-Language Pathologist
Primary
—
SC
Other
Enumeration date
04/04/2007
Last updated
09/28/2015
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