# DYNAMIC AT HOME

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

## Provider details

- **NPI number:** 1396420626
- **Authorized official:** MISS IRENE CABALLERO OTR (MANAGING DIRECTOR)
- **Authorized official phone:** (201) 564-7515

## Contact information

- **Practice address:** 32 HANSEN ST, TAPPAN, NY 10983-1717
- **Practice address phone:** (201) 564-7515
- **Practice address fax:** (201) 564-7514
- **Mailing address:** 32 HANSEN ST, TAPPAN, NY 10983-1717
- **Mailing address phone:** (201) 564-7515
- **Mailing address fax:** (201) 564-7514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/15/2023