Individual
MR. STEVEN WILLIAM DYSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
1409 PARK ST, JASPER, IN 47546-2007
(812) 481-1545
Mailing address
1409 PARK ST, JASPER, IN 47546-2007
(812) 481-1545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002167A
IN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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