Organization Name: | DYNAMIC PHYSICAL THERAPY AND WELLNESS CENTER, LLC |
NPI Number: | 1184054082 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANILO OPORTO CABUSAS (SECRETARY) |
Mailing Address: | 35 S Washington Ave Bergenfield |
State: | NJ US |
Postal Code: | 076212399 |
Phone Number: | 2013851200 |
Fax Number: | 2013851206 |
NPI Enumeration Date: | 11/14/2013 |
NPI Last Update Date: | 11/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00530700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |