Dynamic Physical Therapy and Performance
NPI #1982301149 in Prairie Grove, Arkansas
Provider Information
- NPI Number
- 1982301149
- Entity Type
- Organization
- Organization Name
- Dynamic Physical Therapy and Performance
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 8, 2023
- Last Updated
- Feb 8, 2023
Practice Location
- Address
- 109 E BUCHANAN ST
- City
- Prairie Grove
- State
- Arkansas
- ZIP Code
- 72753-2900
- Phone
- (501) 607-4365
Authorized Official
- Name
- SARA JOHNSON
- Title
- OPERATIONS MANAGER
- Phone
- (501) 607-4365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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