San Luis Physical Therapy & Orthopedic Rehabilitation INC
Clinic/Center, Physical Therapy in Pismo Beach, CA. Organization (NPI-2).
NPI number1235147828
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1235147828
- Entity type
- Organization (NPI-2)
- Legal business name
- San Luis Physical Therapy & Orthopedic Rehabilitation INC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2006
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Movement For Life Physical Therapy (Doing Business As)
Practice location
533 Five Cities Dr Ste C6Pismo Beach, CA 93449-3006
Phone 805-489-7912 · Fax 805-489-9697
Mailing address
408 Higuera St Ste 200San Luis Obispo, CA 93401-6135
Phone 805-788-0805 · Fax 805-788-0845
Authorized official
Kelly Sanders
President
8057880805
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