Individual ProviderAndrea CoverdalePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9300 Campus Point Dr, La Jolla, CA 92037-1300(855) 543-0333(858) 249-6748PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Coverdale does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1750821906Provider TypeIndividualFull NameCoverdale, AndreaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date3/6/2017Last Updated3/28/2017Contact InformationPractice LocationPractice Address9300 Campus Point Dr, La Jolla, CA 92037-1300Phone(855) 543-0333FaxUnlisted FaxMailing LocationMailing AddressPO Box 232410, Apt 307, San Diego, CA 92193-2410Phone(858) 249-6748Fax(619) 543-3183Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense292207California