Organization
SPECIALIZED PHYSICAL THERAPY OF THE CAROLINAS, LLC
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
13 HAYWOOD OFFICE PARK STE 108, WAYNESVILLE, NC 28785-6972
(828) 452-1306
(828) 452-9058
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
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
04/10/2023
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