| NPI | 1629229489 |
|---|---|
| Doing Business As | DYNAMIC PERFORMANCE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ERIC LOUGHMAN Owner 631-482-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020595-1) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |