Organization
DYNAMIC PHYSICAL THERAPY AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANILO OPORTO CABUSAS P.T. (SECRETARY)
(201) 637-1183
Entity
Organization
Contact information
Practice address
35 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2399
(201) 385-1200
(201) 385-1206
Mailing address
35 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2399
(201) 385-1200
(201) 385-1206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00530700
NJ
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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