| Organization Name: | DYNAMIC REHABILITATION |
| NPI Number: | 1043315161 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH RONALDO ELUMBA (PRESIDENT) |
| Mailing Address: | 23232 Peralta Dr Suite 201 Laguna Hills |
| State: | CA US |
| Postal Code: | 926531443 |
| Phone Number: | 9497001958 |
| Fax Number: | 9492151961 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XE1200X |
| License Number: | OT5300 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |