Organization
DYNAMICITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFOSA GUOBADIA DPT (CEO)
(312) 835-0841
Entity
Organization
Contact information
Practice address
147-20 JAMAICA AVE, FLOOR 2, SUITE A, JAMAICA, NY 11435
(312) 835-0841
Mailing address
147-20 JAMAICA AVE, FLOOR 2, SUITE A, JAMAICA, NY 11435
(312) 835-0841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
251E00000X
Home Health Agency
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/03/2022
Last updated
05/22/2023
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