Dyanmic Rehabilitation Services Llc

NPI 1194102434 - Physical Therapist - 225100000X

NPI Details
NPI 1194102434
Enumeration Date 05/06/2015
Last Updated 07/17/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROBERT RAY ROBERT
Position PHYSICAL THERAPIST/OWNER
Phone (228) 326-1115
Fax
Practice Location
10470 DIBERVILLE BLVD
STE H
DIBERVILLE MS, 39540-2419, US
Phone (228) 326-1115
Fax
Business Location
10470 DIBERVILLE BLVD STE H
DIBERVILLE MS, 39540-2419, US
Phone (228) 280-8120
Fax
Toxanomy
Taxonomy Code 225100000X
License State Mississippi
License Number PT5070
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According to our database, Dyanmic Rehabilitation Services Llc NPI is 1194102434, taxonomy code is 225100000X and license number is PT5070, license state is located at Mississippi. Dyanmic Rehabilitation Services Llc physically located at 10470 Diberville Blvd, Diberville MS, 39540-2419. NPI Number 1033115704 has the healthcare provider type.

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1194102434 NPI number is provided on an as is basis without warranty of any kind. 1194102434 is maintained by the National Plan & Provider Enumeration System. The contents of Dyanmic Rehabilitation Services Llc are for informational purposes only.