Organization
DYNAMIC THERAPEUTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN REY BELLO (PRESIDENT)
(786) 277-1058
Entity
Organization
Contact information
Practice address
6555 NW 36TH ST, SUITE 214, VIRGINIA GARDENS, FL 33166-6978
(786) 277-1058
Mailing address
6555 NW 36TH ST, SUITE 214, VIRGINIA GARDENS, FL 33166-6978
(786) 277-1058
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
MA51139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA51139
MASSAGE THERAPY LICENSE
FL
Enumeration date
11/12/2009
Last updated
11/12/2009
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