# DYNAMIC PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Body Gears - Oak Brook
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457609620
- **Authorized official:** STEPHEN KRZYMINSKI (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (419) 221-6717

## Contact information

- **Practice address:** 2311 W 22ND ST, SUITE 102, OAK BROOK, IL 60523-1225
- **Practice address phone:** (630) 568-3472
- **Practice address fax:** (630) 876-9186
- **Mailing address:** PO BOX 150, LIMA, OH 45802-0150
- **Mailing address phone:** (419) 221-6717

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2012
- **Last updated:** 10/04/2023