# DYNAMIC REHABILITATION, INC.

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

## Provider details

- **NPI number:** 1710036421
- **Authorized official:** MRS. LAURA E DHOM PT (OWNER)
- **Authorized official phone:** (630) 406-1800

## Contact information

- **Practice address:** 1180 W. WILSON ST, SUITE B, BATAVIA, IL 60510
- **Practice address phone:** (630) 406-1800
- **Practice address fax:** (630) 406-1805
- **Mailing address:** 1180 W. WILSON ST, SUITE B, BATAVIA, IL 60510
- **Mailing address phone:** (630) 406-1800
- **Mailing address fax:** (630) 406-1805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070.008799 | IL | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04520794 | BCBS | IL |