| Coastal Pt | |
|
424 College Blvd, Valparaiso, FL 32580-1774 | |
| (850) 378-2600 | |
| (833) 869-6437 |
| Full Name | Coastal Pt |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 424 College Blvd, Valparaiso, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679236806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Pt 6021 Sterling River Way, Niceville, FL 32578-1534 Ph: (850) 378-2600 | Coastal Pt 424 College Blvd, Valparaiso, FL 32580-1774 Ph: (850) 378-2600 |
Traci Duncan Green, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 424 College Blvd., Valparaiso, FL 32580 Phone: 850-378-2600 Fax: 833-869-6437 | |
Jennifer Leigh Gaddy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 424 College Blvd, Valparaiso, FL 32580 Phone: 254-247-9064 Fax: 833-869-6437 |