NPI | 1760722839 |
---|---|
Doing Business As | DYNAMIC CARE REHAB |
Entity Type | Organization |
Authorized Contact | MARK JEROME V. GONZALES President/ PT In Charge 915-408-0699 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1123313) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 111483) |
Enumeration Date | 2013-02-26 |
Last Update Date | 2016-04-07 |