Organization Name: | CENTRAL COAST PHYSICAL THERAPY, INC. |
NPI Number: | 1972809200 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE HASKIN (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 4070 West St Cambria |
State: | CA US |
Postal Code: | 934283023 |
Phone Number: | 8059271055 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2011 |
NPI Last Update Date: | 04/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |