Organization Name: | DYNAMIC PHYSICAL THERAPY INC |
NPI Number: | 1487647004 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINCOLN NATHANIEL KINKADE (OWNER/PT) |
Mailing Address: | 746 Fairmont Rd Westover |
State: | WV US |
Postal Code: | 265014060 |
Phone Number: | 3042255222 |
Fax Number: | 3042255224 |
NPI Enumeration Date: | 08/30/2005 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |