Organization
ABUNDANT LIFE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD STEWART PT, DPT, OCS, DN (OWNER)
(704) 746-0022
Entity
Organization
Contact information
Practice address
1531 CINEMA DR STE C, STATESVILLE, NC 28625-5403
(980) 443-6070
(980) 443-6070
Mailing address
133 RIDING TRL, MOORESVILLE, NC 28117-9165
(704) 578-1374
(980) 443-6070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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