Organization
DYNAMIC RECOVERY PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY M. BONIFER PT, DPT, MS (OWNER)
(303) 872-7240
Entity
Organization
Contact information
Practice address
6901 S PIERCE ST # 320, LITTLETON, CO 80128-4552
(303) 872-7240
(303) 872-7240
Mailing address
6901 S PIERCE ST # 320, LITTLETON, CO 80128-4552
(303) 872-7240
(303) 872-7240
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5399
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COAAA1636
MEDICARE PTAN
CO
Enumeration date
03/06/2014
Last updated
12/21/2020
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