Coastal Community Retirement Corporation

Organization Active NPI Physical Therapy Clinic/Center · St. Simons Island, GA

NPI 1295745453 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295745453
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
COASTAL COMMUNITY RETIREMENT CORPORATION
Practice address
136 Marshsedge Lane
St. Simons Island, GA 31522
Phone
(912) 291-2001
NPI assigned
Aug 9, 2006
Organization subpart
No

Authorized official

Name
Robert B Rees
Title
Executive Director
Phone
(912) 291-2004

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

136 Marshsedge Lane
St. Simons Island, GA 31522

Mailing address

136 Marshsedge Lane
St. Simons Island, GA 31522
Phone (912) 291-2001

Other names

  • Marsh's Edge Doing business as

Other providers in St. Simons Island, GA

All providers in St. Simons Island, GA · Physical Therapy Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.