# DYNAMIC PHYSICAL THERAPY & REHABILITATION

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

## Provider details

- **NPI number:** 1164626925
- **Authorized official:** TRACY CARBONEL (BILLING MANAGER)
- **Authorized official phone:** (864) 331-0919

## Contact information

- **Practice address:** 9789 CHARLOTTE HWY, SUITE 500, FORT MILL, SC 29715-7177
- **Practice address phone:** (803) 548-5022
- **Practice address fax:** (803) 548-5023
- **Mailing address:** PO BOX 1864, GREENVILLE, SC 29602-1864
- **Mailing address phone:** (864) 331-0919
- **Mailing address fax:** (864) 331-0922

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 07/24/2008