| Organization Name: | COASTAL PHYSICAL THERAPY AND LYMPHEDEMA MANAGEMENT, LLC |
| NPI Number: | 1972983575 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARA-KATHRYN CRANFORD (OWNER) |
| Mailing Address: | 25910 Canal Rd Suite P Orange Beach |
| State: | AL US |
| Postal Code: | 365615014 |
| Phone Number: | 2519817778 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2015 |
| NPI Last Update Date: | 09/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251C2600X |
| License Number: | PTH6357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Cardiopulmonary |
| Taxonomy Definition: | |