Organization
RESTORED MOVEMENT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY W. BENNETT II DPT (OWNER)
(704) 293-0202
Entity
Organization
Contact information
Practice address
3215 WINDSHIRE LN UNIT 210, CHARLOTTE, NC 28273-4190
(704) 293-0202
Mailing address
3215 WINDSHIRE LN UNIT 210, CHARLOTTE, NC 28273-4190
(704) 293-0202
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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