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COASTAL PHYSICAL THERAPY P.C.

Company Details

Name: COASTAL PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Jul 2021 (4 years ago)
Entity Number: 6411992
ZIP code: 11754
County: Suffolk
Place of Formation: New York
Address: po box 789, KINGS PARK, NY, United States, 11754

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent po box 789, KINGS PARK, NY, United States, 11754

National Provider Identifier

NPI Number:
1043937642
Certification Date:
2022-10-24

Authorized Person:

Name:
VICTORIA MEALEY
Role:
PHYSICAL THERAPIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220223002926 2021-07-01 CERTIFICATE OF INCORPORATION 2021-07-01

Date of last update: 21 Mar 2025

Sources: New York Secretary of State