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NPI 1700041753 · live from the CMS NPI Registry

Coastal Healthcare Services, INC

Occupational Therapist in Washington, DC. National Provider Identifier 1700041753, active.

NPI record

NPI1700041753 Type 2 · organization
StatusActive
Primary specialtyOccupational Therapist 225X00000X
Practice location3801 Connecticut Ave Nw # 100, Washington, DC 20008
Practice phone202-525-1641
EnumeratedJuly 18, 2008
Last updatedMarch 13, 2020
Authorized officialQuiana Mitchem, Executive Director

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist225100000X—
Audiologist231H00000X—
Speech-Language Pathologist, 235Z00000X—
Occupational Therapist primary225X00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.