Organization
DYNAMIC PHYSICAL THERAPY AND SPORTS REHABILITATIONS
Active
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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