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NPI Code Detail

MEDICARE: SPECIALIZED PHYSICAL THERAPY OF THE CAROLINAS LLC

MEDICARE: SPECIALIZED PHYSICAL THERAPY OF THE CAROLINAS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistNC
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1376059857
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALIZED PHYSICAL THERAPY OF THE CAROLINAS LLC
Provider Business Mailing Address
First Line : 408 HIGUERA ST STE 200
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6135
Country : US
Telephone Number : 805-788-0805
Fax Number : 805-788-0845
Provider Business Practice Location Address
First Line : 1572 SAND HILL RD STE 101
Second Line :
City : CANDLER
State : NC
Zip : 28715-0470
Country : US
Telephone Number : 828-552-5342
Fax Number : 828-641-9303
Authorized Official
Title or Position : PRESIDENT
Name : KELLY MARIE SANDERS
Credential :
Telephone Number : 805-788-0805
Provider Enumeration Date : 12/20/2017
Last Update Date : 04/10/2023

Similar Medicare Providers

1225627995 — DR. KYLE G HERSHBERGER DPT
Practice Location Address:
1572 SAND HILL RD STE 101
CANDLER, NC
28715-0470
Practice Phone: 828-552-5342
Practice Fax: 828-641-9303
1093229106 — IAN PATRICK SCOTT PT
Practice Location Address:
1572 SAND HILL RD STE 101
CANDLER, NC
28715-0470
Practice Phone: 828-552-5342
Practice Fax: 828-641-9303
1912485335 — JOSEPH M MYRACLE PT, DPT
Practice Location Address:
1572 SAND HILL RD STE 101
CANDLER, NC
28715-0470
Practice Phone: 828-552-5342
Practice Fax: 828-641-9303
1720561731 — BONNIE LYNN THOMPSON DPT
Practice Location Address:
1572 SAND HILL RD STE 101
CANDLER, NC
28715-0470
Practice Phone: 828-552-5342
Practice Fax: 828-641-9303
1972087351 — VALERIE DEVORE PHARMD
Practice Location Address:
1572 SAND HILL RD
CANDLER, NC
28715-0470
Practice Phone: 828-665-2861
Practice Fax:
1376198705 — ZOE PATRICIA MARTIN PT, DPT
Practice Location Address:
1572 SAND HILL RD STE 101
CANDLER, NC
28715-0470
Practice Phone: 828-552-5342
Practice Fax: 828-641-9303

Directions to “SPECIALIZED PHYSICAL THERAPY OF THE CAROLINAS LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.