Coast to Coast Physical Therapy, LLC

NPI #1568835841 in Owenton, Kentucky

Provider Information

NPI Number
1568835841
Entity Type
Organization
Organization Name
Coast to Coast Physical Therapy, LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Nov 9, 2015
Last Updated
Nov 9, 2015

Practice Location

Address
324 MAIN STREET
Address 2
SUITE 5 & 6
ZIP Code
40359
Phone
(502) 514-2669

Authorized Official

Name
MR. MARK JAMES BOLTON, MD
Title
MEMBER
Phone
(614) 855-9961

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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