Dynamic Physical Therapy, LLC
NPI #1902983802 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1902983802
- Entity Type
- Organization
- Organization Name
- Dynamic Physical Therapy, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Oct 1, 2007
Practice Location
- Address
- 10731 W FOREST HOME AVE
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-2555
- Phone
- (414) 529-4605
Authorized Official
- Name
- MR. CHARLES REITZ, R.P.T.
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (414) 529-4605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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| Boris Gigov, PT, DPT | |
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| Futachai Rasavong, M.P.T. |
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