Organization
DYNAMIC PHYSIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE OTEY (PRACTICE MANAGER)
(336) 609-0499
Entity
Organization
Contact information
Practice address
2015 AYRSLEY TOWN BLVD, CHARLOTTE, NC 28273-4067
(336) 609-0499
Mailing address
2015 AYRSLEY TOWN BLVD, CHARLOTTE, NC 28273-4067
(336) 609-0499
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2008-00366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909721
—
NC
Enumeration date
06/01/2017
Last updated
10/08/2025
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