Organization
COASTAL SPECIALTY PHYSICAL THERAPY, INC
Active
Other names
COVA Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL HAZELTON PT (CEO)
(858) 353-7702
Entity
Organization
Contact information
Practice address
427 S CEDROS AVE STE 101, SOLANA BEACH, CA 92075-1969
(858) 261-0077
(858) 214-1134
Mailing address
427 S CEDROS AVE STE 101, SOLANA BEACH, CA 92075-1969
(858) 353-7702
(858) 214-1134
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
06/26/2025
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