Coastal Rehab, LLC

NPI #1962465799 in Cape Elizabeth, Maine

Provider Information

NPI Number: 1962465799
Entity Type: Organization
Organization Name: Coastal Rehab, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 11, 2006
Last Updated: Mar 9, 2012

Practice Location

Address: 2 DAVIS POINT LANE
Address 2: SUITE 1A
City: Cape Elizabeth
State: Maine
ZIP Code: 04107
Phone: (207) 767-9773

Authorized Official

Name: MRS. NATHALIE DESCHENEAUX, OTR/L
Title: OWNER
Phone: (207) 767-9773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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