| NPI | 1558826644 |
|---|---|
| Other Name | DYNAMIC PHYSICAL THERAPY AND SPORTS REHAB AT NEWARK |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MERCADO Managing Partner 201-564-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-05-16 |