Organization
COASTAL SPECIALTY PHYSICAL THERAPY, INC
Active
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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