Organization
DYNAMIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA ELLEN SHMUKLER OTR/L (OWNER)
(214) 566-2687
Entity
Organization
Contact information
Practice address
4409 HELSTON DR, PLANO, TX 75024
(214) 566-2687
(877) 815-1985
Mailing address
PO BOX 251236, PLANO, TX 75025-1236
(214) 566-2687
(972) 943-7783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071JZ
BLUECROSS BLUESHIELD
TX
Enumeration date
10/04/2006
Last updated
06/05/2018
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