| NPI | 1609288331 |
|---|---|
| Doing Business As | DYNAMIC PT OF QUEENS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTHONY BAUTISTA Practice Admnistrator 914-309-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |