Whalio Doctors

NPI 1902983802

Dynamic Physical Therapy, LLC

Organisation Physical Therapist Hales Corners, WI

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 3307-024 (WI)

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.