OrganizationActive
Dynamic Physical Therapy Center
NPI 1386770659 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Roselle Park, NJ
Provider details
- NPI number
- 1386770659
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn a, Administrator(908) 620-1991
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
313 E Westfield Ave
Roselle Park, NJ 07204-2317
Phone: (908) 620-1991
Fax: (908) 620-9777
Approximate (ZIP-level) locationGet directions
Mailing address
313 E Westfield Ave
Roselle Park, NJ 07204-2317
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.