Intracoastal Physical Therapy, LLC

NPI #1962483370 in Melbourne, Florida

Provider Information

NPI Number: 1962483370
Entity Type: Organization
Organization Name: Intracoastal Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 11, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 308 S HARBOR CITY BLVD
Address 2: SUITE B
City: Melbourne
State: Florida
ZIP Code: 32901-1500
Phone: (321) 951-2416

Authorized Official

Name: MR. MATTHEW KARL THOMPSON, RPT
Title: OWNER
Phone: (321) 951-2416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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