# DYNAMIC CARE OT, PT, SLP PLLC

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

## Provider details

- **NPI number:** 1194094839
- **Authorized official:** MR. JOSE DAVILA PT,MPH (CEO)
- **Authorized official phone:** (718) 286-9212

## Contact information

- **Practice address:** 7540 AUSTIN ST, 3GR, FOREST HILLS, NY 11375-6248
- **Practice address phone:** (718) 286-9212
- **Mailing address:** 7540 AUSTIN ST, 3GR, FOREST HILLS, NY 11375-6248
- **Mailing address phone:** (718) 286-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 021147 | NY | Yes |

## Other

- **Enumeration date:** 12/27/2011
- **Last updated:** 05/11/2013