| Organization Name: | DYNAMIC PHYSICAL THERAPY & SPORTS CLINIC |
| NPI Number: | 1902267263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN HERNANDEZ (MANAGING DIRECTOR) |
| Mailing Address: | 407 39th St Ste 301 Union City |
| State: | NJ US |
| Postal Code: | 070874817 |
| Phone Number: | 2014728828 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2016 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01620600 |
| 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 |