Dynamic Physical Therapy of Queens Pllc

NPI #1609288331 in Woodside, New York

Provider Information

NPI Number
1609288331
Entity Type
Organization
Organization Name
Dynamic Physical Therapy of Queens Pllc
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
May 29, 2014
Last Updated
May 29, 2014

Practice Location

Address
5718 WOODSIDE AVE
Address 2
2FLR SUITE#103
ZIP Code
11377-3415
Phone
(718) 205-0030

Authorized Official

Name
MR. CHRISTOPHER ANTHONY BAUTISTA, MBA
Title
PRACTICE ADMNISTRATOR
Phone
(914) 309-9564

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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