# DYNAMIC PHYSIATRY, PLLC

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

## Provider details

- **NPI number:** 1598293714
- **Authorized official:** JOANNE OTEY (PRACTICE MANAGER)
- **Authorized official phone:** (336) 609-0499

## Contact information

- **Practice address:** 2015 AYRSLEY TOWN BLVD, CHARLOTTE, NC 28273-4067
- **Practice address phone:** (336) 609-0499
- **Mailing address:** 2015 AYRSLEY TOWN BLVD, CHARLOTTE, NC 28273-4067
- **Mailing address phone:** (336) 609-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2008-00366 | NC | Yes |

## Other

- **Enumeration date:** 06/01/2017
- **Last updated:** 10/08/2025