Organization Name: | DYNAMIC REHAB PT, PC |
NPI Number: | 1245543255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANATOLI YOSHOVAYEV (PHYSICAL THERAPIST) |
Mailing Address: | 316 N 6th St Prospect Park |
State: | NJ US |
Postal Code: | 075082122 |
Phone Number: | 9739100307 |
Fax Number: | 7182332570 |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0292741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |