Dyer, Jessica
Dyer, Jessica is an individual health care provider with primary practice located at 2245 Plantation Center Dr Ste 57 , Fleming Island FL 32003-4311. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dyer, Jessica can be contacted via phone (904) 374-1414.Contact Information
Primary practice address
2245 Plantation Center Dr Ste 57
Fleming Island FL 32003-4311
Phone: (904) 374-1414
Fax: (877) 736-3470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT27842 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT009610 | Georgia |
Profile Details
| NPI number | 1649405705 |
|---|---|
| LBN Legal business name | Dyer, Jessica |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2009 |
| Last updated | May 21st, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649405705 | NPPES |
| Florida | MEDICAID | 006710800 |
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