Healthcare Provider Details

I. General information

NPI: 1043314487
Provider Name (Legal Business Name): SANDRA LYNN WRIGHT DAVIS PT, MPT, PCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7532 WILKINS DR
FAYETTEVILLE NC
28311-9338
US

IV. Provider business mailing address

PO BOX 2318
CULLOWHEE NC
28723-2318
US

V. Phone/Fax

Practice location:
  • Phone: 910-868-6000
  • Fax:
Mailing address:
  • Phone: 910-868-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC000131
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberP7452
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: