Individual
MRS. JENNIFER L DYER
Active
Individual
MRS. JENNIFER L DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2137
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39956
BLUE CROSS BLUE SHIELD
NE
05
—
47084123332
—
NE
01
—
P00166238
PALMETTO GBA RR MEDICARE
—
Enumeration date
07/28/2006
Last updated
08/05/2010
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