| NPI | 1487406401 |
|---|---|
| Doing Business As | DYNAMIC PHYSICAL THERAPY AND SPORTS REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MERCADO Managing Director 201-757-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |