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Organization

DYNAMIC PHYSICAL THERAPY & SPORT ENHANCEMENT, INC

Active
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Organization

DYNAMIC PHYSICAL THERAPY & SPORT ENHANCEMENT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY SIMBECK PT (OWNER/PRESIDENT)
(305) 556-0315
Entity
Organization

Contact information

Practice address
16010 NW 57TH AVE UNIT 110, SUITE 325, MIAMI LAKES, FL 33014-6708
(305) 556-0315
(305) 556-0317
Mailing address
16010 NW 57TH AVE UNIT 110, MIAMI LAKES, FL 33014-6708
(305) 556-0315
(305) 556-0317

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15097
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891482600
FL
Enumeration date
07/02/2006
Last updated
10/14/2015
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