Organization
DYNAMIC PHYSICAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SIERRA PT (OWNER)
(985) 893-4700
Entity
Organization
Contact information
Practice address
653 MYRTLE DRIVE, COVINGTON, LA 70433
(985) 893-4700
(985) 893-3211
Mailing address
653 MYRTLE DRIVE, COVINGTON, LA 70433
(985) 893-4700
(985) 893-3211
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
06/18/2018
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