Organization
DYNAMIC REHAB PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESSAM FATHY P.T. (OWNER)
(615) 459-9800
Entity
Organization
Contact information
Practice address
211 COMMERCE DR, SUITE 101, SMYRNA, TN 37167-3024
(615) 459-9800
(615) 459-2500
Mailing address
211 COMMERCE DR, SUITE 101, SMYRNA, TN 37167-3024
(615) 459-9800
(615) 459-2500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000001078
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3106299
BCBS
TN
Enumeration date
12/28/2006
Last updated
07/07/2008
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