Organization
DYNAMIC PERFORMANCE AND RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CHURCH PT, DPT (OWNER/PHYSICAL THERAPIST)
(505) 235-3290
Entity
Organization
Contact information
Practice address
7800 E PIERCE ST, SCOTTSDALE, AZ 85257-4606
(505) 235-3290
Mailing address
2820 E CALAVAR RD, PHOENIX, AZ 85032-5674
(505) 235-3290
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578956280
INDIVIDUAL NPI
AZ
Enumeration date
09/18/2020
Last updated
09/18/2020
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