Organization
DYNAMIC EVALUATION CENTER OF SOUTH TEXAS, LLC
Active
Organization
DYNAMIC EVALUATION CENTER OF SOUTH TEXAS, LLC
Active
Other names
Dynamic Performance Physical Therapy and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA H RODRIGUEZ NCMOA (ADMINISTRATOR)
(361) 851-0209
Entity
Organization
Contact information
Practice address
5920 SARATOGA BLVD, SUITE 645, CORPUS CHRISTI, TX 78414-4103
(361) 851-0209
(361) 851-0147
Mailing address
5920 SARATOGA BLVD, SUITE 645, CORPUS CHRISTI, TX 78414-4103
(361) 851-0209
(361) 851-0147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
225X00000X
Occupational Therapist
—
TX
Other
Enumeration date
07/28/2005
Last updated
12/19/2007
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