Organization
DYNAMIC REHABILITATION
Active
Organization
DYNAMIC REHABILITATION
Active
Other names
Pure Healthy Back
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SZPORKA (CFO)
(248) 649-2323
Entity
Organization
Contact information
Practice address
1500 W BIG BEAVER RD, STE 150, TROY, MI 48084-3522
(248) 649-2323
(248) 649-5998
Mailing address
1500 W BIG BEAVER RD, STE 150, TROY, MI 48084-3522
(248) 649-2323
(248) 649-5998
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/24/2006
Last updated
10/19/2015
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