Coastal Pt
NPI #1679236806 in Valparaiso, Florida
Provider Information
- NPI Number
- 1679236806
- Entity Type
- Organization
- Organization Name
- Coastal Pt
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 14, 2021
- Last Updated
- Oct 14, 2021
Practice Location
- Address
- 424 COLLEGE BLVD
- City
- Valparaiso
- State
- Florida
- ZIP Code
- 32580-1774
- Phone
- (850) 378-2600
Authorized Official
- Name
- TRACI DUNCAN GREEN, M.P.T.
- Title
- OWNER/PT
- Phone
- (850) 378-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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