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Individual
JESSICA DYER
Active
Individual
JESSICA DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT009610
GA
225100000X
Physical Therapist
Primary
PT27842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006710800
—
FL
Enumeration date
05/19/2009
Last updated
05/21/2013
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