Dynamic Care Ot, Pt, Slp Pllc
NPI #1194094839 in Forest Hills, New York
Provider Information
- NPI Number
- 1194094839
- Entity Type
- Organization
- Organization Name
- Dynamic Care Ot, Pt, Slp Pllc
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Dec 27, 2011
- Last Updated
- May 11, 2013
Practice Location
- Address
- 7540 AUSTIN ST
- Address 2
- 3GR
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375-6248
- Phone
- (718) 286-9212
Authorized Official
- Name
- MR. JOSE DAVILA, PT,MPH
- Title
- CEO
- Phone
- (718) 286-9212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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