Organization
COASTAL MOBILE THERAPY A PROFESSIONAL PHYSICAL THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SWISHER PT (PRESIDENT)
(760) 688-9089
Entity
Organization
Contact information
Practice address
1630 RIDGEWAY ST, OCEANSIDE, CA 92054
(760) 688-9089
Mailing address
1630 RIDGEWAY ST, OCEANSIDE, CA 92054-5637
(760) 688-9089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26133
CA
Other
Enumeration date
07/17/2013
Last updated
08/29/2022
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