NPI 1902983802
Dynamic Physical Therapy, LLC
Practice location
- Address
- 10731 W Forest Home Ave, Hales Corners, WI 53130-2555
- Phone
- (414) 529-4605
Authorised official
- Name
- Charles Reitz
- Title
- Owner/Physical Therapist
- Phone
- (414) 529-4605
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1902983802
- Entity type
- Organization
- NPI issued
- 1 Nov 2006
- Record last updated
- 1 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.