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
328 COMMERCIAL RD STE 108, SAN BERNARDINO, CA 92408-3766
(909) 494-6645
(909) 494-6646
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
07/05/2013
Last updated
04/10/2023
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