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Organization
DYNAMIC CARE OT, PT, SLP PLLC
Active
Organization
DYNAMIC CARE OT, PT, SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE DAVILA PT,MPH (CEO)
(718) 286-9212
Entity
Organization
Contact information
Practice address
7540 AUSTIN ST, 3GR, FOREST HILLS, NY 11375-6248
(718) 286-9212
Mailing address
7540 AUSTIN ST, 3GR, FOREST HILLS, NY 11375-6248
(718) 286-9212
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
021147
NY
Other
Enumeration date
12/27/2011
Last updated
05/11/2013
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