# DYNAMIC PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DYNAMIC PHYSICAL THERAPY MANAGEMENT SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326294349
- **Legal business name:** DYNAMIC PHYSICAL THERAPY MANAGEMENT SERVICES
- **Authorized official:** ROBIN L POWERS (DIRECTOR OF FINANCE)
- **Authorized official phone:** (630) 876-9186

## Contact information

- **Practice address:** 25 N CASS AVE, WESTMONT, IL 60559-1601
- **Practice address phone:** (630) 615-9170
- **Practice address fax:** (630) 493-0995
- **Mailing address:** 440 E ROOSEVELT RD, UNIT 104, WEST CHICAGO, IL 60185-3902
- **Mailing address phone:** (630) 876-9186
- **Mailing address fax:** (630) 876-9187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070.008757 | IL | Yes |

## Other

- **Enumeration date:** 08/11/2008
- **Last updated:** 08/11/2008