Dynamic Function Therapy Services, Pllc

NPI #1073878807 in Mesa, Arizona

Provider Information

NPI Number: 1073878807
Entity Type: Organization
Organization Name: Dynamic Function Therapy Services, Pllc
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 9, 2012
Last Updated: Jul 9, 2012

Practice Location

Address: 3140 E FOX ST
City: Mesa
State: Arizona
ZIP Code: 85213-5418
Phone: (605) 490-1554

Authorized Official

Name: MICHELLE T VAUGHAN, O.T.L.
Title: OWNER
Phone: (605) 490-1554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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