Coastal Therapy Services, INC.
Speech-Language Pathologist, in Mt Pleasant, SC. Organization (NPI-2).
NPI number1285641308
StatusActive
Last updated in NPPESJun 23, 2015
Details
- NPI
- 1285641308
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Therapy Services, INC.
- Organization subpart
- No
- Enumeration date
- Aug 2, 2006
- Last updated
- Jun 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
1127 Queensborough Blvd Ste 104Mt Pleasant, SC 29464-5431
Phone 843-216-0290 · Fax 843-216-2445
Mailing address
Po Box 1753Mt Pleasant, SC 29465-1753
Phone 843-216-0290 · Fax 843-216-2445
Authorized official
Ron Thayer
Owner
8432160290
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