Organization
DYNAMIC ABILITIES PEDIATRIC THERAPY: OCCUPATIONAL AND PHYSICAL THERAPY
Active
Organization
DYNAMIC ABILITIES PEDIATRIC THERAPY: OCCUPATIONAL AND PHYSICAL THERAPY
Active
Other names
DAP Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARMOLEJO PT, DPT (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(760) 383-3278
Entity
Organization
Contact information
Practice address
950 BOARDWALK STE 204, SAN MARCOS, CA 92078-2600
(760) 383-3278
(760) 502-1474
Mailing address
950 BOARDWALK STE 204, SAN MARCOS, CA 92078-2600
(760) 383-3278
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
05/02/2023
Last updated
03/13/2024
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