Graduated: 2019
NPI: 1164928263
Practice Locations (2)
DYNAMIC PHYSICAL THERAPY AT HOME
220 LIVINGSTON ST, SUITE 108
NORTHVALE, NJ 076471739
2015647515
IVYREHAB NETWORK INC
216 OLD TAPPAN RD
OLD TAPPAN, NJ 07675
2017815700
Source: CMS National Downloadable File, September 2026.