Organization
SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC
Active
Organization
SAN LUIS PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION INC
Active
Other names
Movement For Life Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE SANDERS PT (PRESIDENT)
(805) 788-0805
Entity
Organization
Contact information
Practice address
862 MEINECKE AVE STE 101, SAN LUIS OBISPO, CA 93405-3702
(805) 619-0414
(805) 549-5253
Mailing address
408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 93401-6135
(805) 788-0805
(808) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
04/10/2023
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