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Organization
DYNAMIC PHYSICAL THERAPY, INC.
Active
Organization
DYNAMIC PHYSICAL THERAPY, INC.
Active
Other names
Body Gears - Wheaton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
(419) 221-6710
Entity
Organization
Contact information
Practice address
400 S COUNTY FARM RD STE 310, WHEATON, IL 60187-4547
(630) 937-3030
(866) 221-3400
Mailing address
1110 SHAWNEE RD, LIMA, OH 45805-3529
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/17/2018
Last updated
05/21/2019
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