Organization · Type 2 NPI
Dynamic Physical Therapy PLLC
Comprehensive Outpatient Rehabilitation Facility (CORF) · Lewiston, ID
NPI number
1619360245
Active
Practice location
1023 21st St
Lewiston, ID 83501-3415
Fax (208) 743-1791
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | PT-1861 (ID) |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
2 other providers at this address
About NPI 1619360245
Dynamic Physical Therapy PLLC's National Provider Identifier is 1619360245, issued on Mar 6, 2015. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Lewiston, ID. The record was last updated on Dec 21, 2020.