Organization
DYNAMIC THERAPY & REHABILITATION CENTER
Active
Other names
Dynamic Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ALONZO JR. OTR (ADMINISTRATOR)
(305) 316-4559
Entity
Organization
Contact information
Practice address
3964 NW 167TH ST, MIAMI GARDENS, FL 33054-6291
(305) 430-9499
(305) 574-0102
Mailing address
9370 SW 72ND ST, SUITE A212, MIAMI, FL 33173-5431
(786) 401-6722
(786) 401-6041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT8785
FL
225200000X
Physical Therapy Assistant
PTA19241
FL
225X00000X
Occupational Therapist
Primary
OTR12543
FL
Other
Enumeration date
06/09/2010
Last updated
03/23/2016
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