Individual ProviderSandra MabutasPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078-3479(704) 316-1280PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Mabutas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1215287636Provider TypeIndividualFull NameMabutas, SandraTitleMrs.CredentialMSPTGenderFemaleSole ProprietorNoEnumeration Date9/12/2012Last Updated5/27/2021Contact InformationPractice LocationPractice Address14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078-3479Phone(704) 316-1280FaxUnlisted FaxMailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseP10615North Carolina