Doctor Name: | JESSICA DYER |
NPI Number: | 1649405705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT009610 |
Business Practice Address: | 2245 Plantation Center Dr Ste 57 Fleming Island, FL - 320034311 |
Business Phone Number: | 9043741414 |
Business Fax Number: | 8777363470 |
Mailing Address: | 2245 Plantation Center Dr Ste 57, FLEMING ISLAND |
State: | FL |
Postal Code: | 320034311 |
Phone Number: | 9043741414 |
Fax Number: | 8777363470 |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT009610 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |