Organization
CV PHYSICAL THERAPY, INC
Active
Other names
Movement For Life Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SANDERS PT (PRESIDENT)
(805) 788-0805
Entity
Organization
Contact information
Practice address
4343 PACIFIC AVE STE B1, STOCKTON, CA 95207-7664
(209) 425-4071
(209) 451-5687
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
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
04/10/2023
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