Provider Demographics
NPI:1114166055
Name:DYNAMIC THERAPIES, INC.
Entity Type:Organization
Organization Name:DYNAMIC THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GISELE
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEPPUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-445-2400
Mailing Address - Street 1:50 E FOOTHILL BLVD
Mailing Address - Street 2:STE. 100
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2314
Mailing Address - Country:US
Mailing Address - Phone:626-445-2400
Mailing Address - Fax:626-445-2419
Practice Address - Street 1:50 E FOOTHILL BLVD
Practice Address - Street 2:STE. 100
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2314
Practice Address - Country:US
Practice Address - Phone:626-445-2400
Practice Address - Fax:626-445-2419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2251P0200X, 225XP0200X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty