| Organization Name: | COAST HAND THERAPY, INC. |
| NPI Number: | 1023055415 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH ALBERT CHURCH (OWNER) |
| Mailing Address: | 1105 39th Ave Gulfport |
| State: | MS US |
| Postal Code: | 395012654 |
| Phone Number: | 2285754654 |
| Fax Number: | 2285754651 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 01/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OT0116 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |