# DYNAMIC PERFORMANCE PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053038612
- **Authorized official:** RAFAEL OZDEMIRER DPT (OWNER)
- **Authorized official phone:** (203) 558-9360

## Contact information

- **Practice address:** 12 RED STONE DR, WEATOGUE, CT 06089-9733
- **Practice address phone:** (203) 558-9360
- **Mailing address:** 12 RED STONE DR, WEATOGUE, CT 06089-9733
- **Mailing address phone:** (203) 558-9360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2022
- **Last updated:** 10/25/2022