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NPI Code Detail

MEDICARE: COAST ALLIED HEALTH

MEDICARE: COAST ALLIED HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT8048CA
2225XP0200XPediatric Occupational TherapistOT8048CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT8048OTHERCAOTHER

General Provider Information

NPI Number : 1568882678
Entity Type Code : Organization
Provider Name (Legal Business Name) : COAST ALLIED HEALTH
Provider Business Mailing Address
First Line : 805 AEROVISTA PL STE 101
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-7921
Country : US
Telephone Number : 805-996-0899
Fax Number : 805-250-3089
Provider Business Practice Location Address
First Line : 805 AEROVISTA PL STE 101
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-7921
Country : US
Telephone Number : 805-996-0899
Fax Number : 805-250-3089
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MRS. MOLLIE CHAINANI BIVENS
Credential : MOT, OTR/L
Telephone Number : 805-996-0899
Provider Enumeration Date : 04/16/2014
Last Update Date : 12/09/2022

Similar Medicare Providers

1073552378 — SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC
Practice Location Address:
805 AEROVISTA PL STE 104
SAN LUIS OBISPO, CA
93401-7921
Practice Phone: 805-543-7771
Practice Fax: 805-543-7761
1467871897 — MOLLIE CHAINANI BIVENS MOT, OTR/L
Practice Location Address:
805 AEROVISTA PL STE 101
SAN LUIS OBISPO, CA
93401-7921
Practice Phone: 805-996-0899
Practice Fax: 805-250-3089
1891170486 — JULIE RAWLINGS PT
Practice Location Address:
805 AEROVISTA PL STE 104
SAN LUIS OBISPO, CA
93401-7921
Practice Phone: 805-543-7771
Practice Fax: 805-543-7761
1669910808 — CHARLENE POWELL PT, DPT
Practice Location Address:
805 AEROVISTA PL STE 104
SAN LUIS OBISPO, CA
93401-7921
Practice Phone: 805-543-7771
Practice Fax: 805-543-7761
1396209797 — DR. MATTHEW SCOTT MILLER PT, DPT
Practice Location Address:
805 AEROVISTA PL STE 104
SAN LUIS OBISPO, CA
93401-7921
Practice Phone: 805-543-7771
Practice Fax: 805-543-7761
1568017085 — JESSICA CHELLSEN PT
Practice Location Address:
805 AEROVISTA PL STE 104
SAN LUIS OBISPO, CA
93401-7921
Practice Phone: 805-543-7771
Practice Fax: 805-543-7761

Directions to “COAST ALLIED HEALTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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