Organization
DYNAMIC MOTION REHAB INC
Active
Organization
DYNAMIC MOTION REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MARCELA ROLDAN MORA ITDS (PRESIDENT)
(786) 312-5827
Entity
Organization
Contact information
Practice address
883 CRYSTAL LAKE DR, DEERFIELD BEACH, FL 33064-1948
(786) 312-5827
Mailing address
883 CRYSTAL LAKE DR, DEERFIELD BEACH, FL 33064-1948
(786) 312-5827
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
01/15/2025
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