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Individual

JENNIFER A. DYRESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, MPT

Contact information

Practice address
4407 N. DIVISION ST., SUITE 200, SPOKANE, WA 99207-1613
(509) 474-9197
(509) 443-3834
Mailing address
4407 N. DIVISION ST. FORTE THERAPY, SUITE 200, SPOKANE, WA 99207-1613
(509) 474-9197
(509) 443-3834

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008752
WA
225100000X
Physical Therapist
PT0008752
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0410754
LABOR-INDUSTRIES
WA
Enumeration date
11/16/2010
Last updated
12/01/2025
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