NPI 1194276527

Coast to Coast Rehabilitation INC

Organisation Preferred Provider Organization Fort Worth, TX

Practice location

Address: 8553 N Beach St Suite 229, Fort Worth, TX 76244-4919
Phone: (817) 797-7934
Mailing address: 3650 Timberglen Road APT 3, Dallas, TX 75287

Authorised official

Name: Abrian Flowers
Title: Physical Therapist
Phone: (817) 797-7934

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1215200 (TX)

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Registry record

NPI: 1194276527
Entity type: Organization
NPI issued: 20 Oct 2016
Record last updated: 20 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.