Jacey Van Dyk
NPI #1043761216 in Bishop, California
Provider Information
- NPI Number
- 1043761216
- Entity Type
- Individual
- Name
- Jacey Van Dyk
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Oct 21, 2016
- Last Updated
- Oct 21, 2016
Practice Location
- Address
- 151 PIONEER LN
- City
- Bishop
- State
- California
- ZIP Code
- 93514-2557
- Phone
- (760) 872-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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