| Doctor Name: | DR. MARK DYNAN |
| NPI Number: | 1255631545 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, OCS |
| License Number: | 11208 |
| Business Practice Address: | 16 Hayden Avenue Lahey Lexington Lexington, MA - 024217929 |
| Business Phone Number: | 7813727060 |
| Business Fax Number: | 7813727069 |
| Mailing Address: | 16 Hayden Avenue, Lahey Lexington LEXINGTON |
| State: | MA |
| Postal Code: | 024217929 |
| Phone Number: | 7813727060 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2010 |
| NPI Last Update Date: | 12/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |