Organization
COASTAL WELLNESS AND PHYSICAL THERAPY, INC
Active
Other names
Christine Ely Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KANCHAN PHYSICAL KHURANA PT, MPT (PRESIDENT)
(310) 424-0425
Entity
Organization
Contact information
Practice address
785 MAIN ST STE A, HALF MOON BAY, CA 94019-1987
(650) 712-8400
Mailing address
785 MAIN ST STE A, HALF MOON BAY, CA 94019-1987
(310) 424-0425
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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