Organization
DYNAMIC PHYSICAL THERAPY AND SPORTS REHABILITATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MERCADO PT (PHYSICAL THERAPIST, OWNER)
(201) 757-0669
Entity
Organization
Contact information
Practice address
220 LIVINGSTON ST, SUITE 112, NORTHVALE, NJ 07647-1738
(201) 564-7515
Mailing address
220 LIVINGSTON ST, SUITE 112, NORTHVALE, NJ 07647-1738
(201) 757-0669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
03/14/2014
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