Dynamic Function Therapy Services, Pllc

LBN: Dynamic Function Therapy Services, Pllc
Dynamic Function Therapy Services, Pllc is an health care organization with primary practice located at 3140 E Fox St , Mesa AZ 85213-5418. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. Dynamic Function Therapy Services, Pllc can be contacted via phone (605) 490-1554, or through Vaughan, Michelle T via phone (605) 490-1554.

Contact Information

Primary practice address
3140 E Fox St Mesa AZ 85213-5418
Phone: (605) 490-1554
Fax: (480) 634-6442
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, Michelle T O.T.L.
Phone: (605) 490-1554

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4587 Arizona

Profile Details

NPI number 1073878807
LBN Legal business name Dynamic Function Therapy Services, Pllc
DBA Doing business as
Authorized official Vaughan, Michelle T O.T.L.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2012
Last updated Jul 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073878807 NPPES
Arizona Other 1740329887 INDIVIDUAL NPI #

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