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Organization

DYNAMIC SPORT AND SPINE

Active
Other names
Forever Fit
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN KRISTEN ROSSO DPT (OWNER)
(303) 949-6453
Entity
Organization

Contact information

Practice address
2701 SE OTIS CORLEY DR STE 11, BENTONVILLE, AR 72712-3991
(479) 235-2545
(479) 235-2546
Mailing address
2701 SE OTIS CORLEY DR STE 11, BENTONVILLE, AR 72712-3991
(479) 235-2545
(479) 235-2546

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
8295
CO
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71789715
CO
Enumeration date
01/16/2006
Last updated
12/24/2025
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