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
1106 WALNUT ST STE 110, SAN LUIS OBISPO, CA 93401-2416
(805) 269-6402
(888) 909-5102
Mailing address
1106 WALNUT ST STE 110, SAN LUIS OBISPO, CA 93401-2416
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
12/11/2020
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