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Organization
INDUSTRIAL PHYSICAL THERAPY SPECIALISTS
Active
Organization
INDUSTRIAL PHYSICAL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SANDERS PT (PRESIDENT)
(805) 788-0805
Entity
Organization
Contact information
Practice address
805 AEROVISTA PL, SUITE 104, SAN LUIS OBISPO, CA 93401-7919
(805) 543-7771
(805) 543-7761
Mailing address
1106 WALNUT ST, SUITE 110, SAN LUIS OBISPO, CA 93401-2416
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
05/17/2013
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