| Organization Name: | DYNAMIC THERAPY, INC. |
| NPI Number: | 1003843442 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER C CREDLE (OWNER, DIRECTOR) |
| Mailing Address: | 3100 Nc Highway 55 Suite 102 Cary |
| State: | NC US |
| Postal Code: | 275198426 |
| Phone Number: | 9193635000 |
| Fax Number: | 9193635346 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 04/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 1311 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |