Organization
DYNAMIC REHAB PHYSICAL THERAPY CENTER INC
Active
Other names
Dynamic Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO MARTINEZ PT (OWNER/THERAPIST)
(661) 948-1999
Entity
Organization
Contact information
Practice address
1935 W AVENUE L, LANCASTER, CA 93534-8827
(661) 948-1999
(661) 948-6699
Mailing address
45714 KAASTAD CT, LANCASTER, CA 93534-5105
(661) 948-1999
(661) 948-6699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT17853
CA
2251E1200X
Ergonomics Physical Therapist
PT17853
CA
2251S0007X
Sports Physical Therapist
PT17853
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT17853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT17853
LICENSE
CA
01
—
ZZZ00314P
BLUE SHIELD GROUP
CA
Enumeration date
05/13/2014
Last updated
10/31/2022
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