Coastal Physical Therapy

NPI #1346991114 in Patchogue, New York

Provider Information

NPI Number: 1346991114
Entity Type: Organization
Organization Name: Coastal Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jan 13, 2022
Last Updated: Jan 13, 2022

Practice Location

Address: 38 OAK ST STE 2
City: Patchogue
State: New York
ZIP Code: 11772-2883
Phone: (631) 654-2225

Authorized Official

Name: RUSSELL TAVERAS
Title: OWNER
Phone: (631) 654-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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