Organization
DYNAMISM THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINOPOMPEYOROCO ALTAMIRANO BORJA PT, DPT (PRESIDENT)
(908) 922-5762
Entity
Organization
Contact information
Practice address
4035 191ST ST APT 1, FLUSHING, NY 11358-2820
(908) 922-5762
Mailing address
4035 191ST ST APT 1, FLUSHING, NY 11358-2820
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
028810
NY
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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