Individual
BRIANA LYNN DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 254-9717
Mailing address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 254-9717
(765) 254-9739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99086492A
IN
Other
Enumeration date
06/26/2018
Last updated
01/20/2020
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