Individual
MRS. JESSICA DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4875
(405) 271-8344
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4875
(405) 271-8344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3819
OK
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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