# DYNAMIC PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1952873812
- **Authorized official:** MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (419) 221-6710

## Contact information

- **Practice address:** 400 S COUNTY FARM RD STE 310, WHEATON, IL 60187-4547
- **Practice address phone:** (630) 937-3030
- **Practice address fax:** (866) 221-3400
- **Mailing address:** 1110 SHAWNEE RD, LIMA, OH 45805-3529
- **Mailing address phone:** (419) 221-6717
- **Mailing address fax:** (419) 222-0507

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 05/21/2019