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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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