Organization
COASTAL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C W HERNDON (PRESIDENT)
(912) 280-0600
Entity
Organization
Contact information
Practice address
106 SHOPPERS WAY, STE G, BRUNSWICK, GA 31525
(912) 280-0600
Mailing address
PO BOX 357, BRUNSWICK, GA 31521-0357
(912) 280-0600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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