Organization
DYNAMIC PHYSICAL THERAPY OF NEW JERSEY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ANTHONY BAUTISTA (PRACTICE ADMINISTRATOR)
(914) 309-9564
Entity
Organization
Contact information
Practice address
20 THOREAU DR, POETS SQUARE, FREEHOLD, NJ 07728-4329
(732) 303-1425
(732) 780-7990
Mailing address
6248 80TH ST, MIDDLE VILLAGE, NY 11379-1323
(718) 429-2888
(646) 304-8252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01291900
NJ
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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