Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI Number | 1891884250 |
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| LBN Legal business name | WEST COAST THERAPY, LLC | ||||
| Authorized official | MARGE GRISHKOFF - (MANAGING MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/12/2006 | ||||
| Last updated | 07/15/2008 - About 18 years ago | ||||
| Identifiers |
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