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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