Doctor Name: | JENNIFER A DYRESON |
NPI Number: | 1932400314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT00008752 |
Business Practice Address: | 707 S Park Ave Deer Park, WA - 99006 |
Business Phone Number: | 5092768811 |
Business Fax Number: | 5092765280 |
Mailing Address: | Po Box 948, DEER PARK |
State: | WA |
Postal Code: | 990060948 |
Phone Number: | 5092768811 |
Fax Number: | 5092765280 |
NPI Enumeration Date: | 11/16/2010 |
NPI Last Update Date: | 11/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00008752 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |