Organization
DYNAMIC REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA E DHOM PT (OWNER)
(630) 406-1800
Entity
Organization
Contact information
Practice address
1180 W. WILSON ST, SUITE B, BATAVIA, IL 60510
(630) 406-1800
(630) 406-1805
Mailing address
1180 W. WILSON ST, SUITE B, BATAVIA, IL 60510
(630) 406-1800
(630) 406-1805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.008799
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04520794
BCBS
IL
Enumeration date
01/10/2007
Last updated
08/20/2019
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