Organization
DYNAMIC THERAPY 101. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE SEVERSON (C.E.O.)
(561) 951-8588
Entity
Organization
Contact information
Practice address
2017 NASSAU DR., RIVIERA BEACH, FL 33404
(561) 961-8588
(561) 623-5577
Mailing address
2017 NASSAU DR, RIVIERA BEACH, FL 33404-6460
(561) 951-8588
(561) 623-5577
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
FL
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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