Organization
DYNAMIC PHYSICAL THERAPY AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MERCADO (MANAGING DIRECTOR)
(201) 564-7515
Entity
Organization
Contact information
Practice address
220 LIVINGSTON ST STE 108, NORTHVALE, NJ 07647-1739
(201) 564-7515
Mailing address
220 LIVINGSTON ST STE 108, NORTHVALE, NJ 07647-1739
(201) 564-7515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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