Individual
ALFRED JAMES DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
134 S COLLEGE AVE, BLUEFIELD, VA 24605-1705
(276) 325-5020
(276) 325-5029
Mailing address
1400 AUGUSTA ST, BLUEFIELD, WV 24701-3810
(304) 960-1637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
001290
WV
225100000X
Physical Therapist
Primary
2305006291
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4059211
MEDICARE PTAN
—
05
—
7301086-000
—
WV
Enumeration date
10/17/2006
Last updated
11/20/2015
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