Organization
M4L BODY DYNAMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SANDERS PT (PRESIDENT)
(805) 250-1416
Entity
Organization
Contact information
Practice address
410 S MAPLE AVE STE 100, FALLS CHURCH, VA 22046-4246
(703) 988-6010
(703) 526-0438
Mailing address
408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 93401-6135
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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