Individual
MS. JANINE H DYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR4 BOX 646, ENCORE THERAPY SERVICES INC, W PITTSTON, PA 18643
(570) 388-4094
(570) 388-2104
Mailing address
RR4 BOX 646, W PITTSTON, PA 18643
(570) 388-4094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0C003201L
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018888770002
—
PA
Enumeration date
03/20/2007
Last updated
07/08/2007
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