Organization
DYNAMIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA EUGENIA ACEVEDO PT (MANAGER)
(772) 971-2610
Entity
Organization
Contact information
Practice address
2506 ACORN ST, SUITE B, FORT PIERCE, FL 34947-4750
(772) 971-2610
(772) 879-3483
Mailing address
2506 ACORN ST, SUITE B, FORT PIERCE, FL 34947-4750
(772) 971-2610
(772) 879-3483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0011057
FL
Other
Enumeration date
01/07/2007
Last updated
08/22/2020
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