Provider Demographics
NPI:1356677397
Name:DYER, ROBERT
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:DYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 NORTH CENTER DRIVE, SUITE 250
Mailing Address - Street 2:PHYSIOPTHERAPY ASSOCIATES
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4006
Mailing Address - Country:US
Mailing Address - Phone:757-893-9210
Mailing Address - Fax:757-893-9247
Practice Address - Street 1:6315 NORTH CENTER DRIVE
Practice Address - Street 2:SUITE 250
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4006
Practice Address - Country:US
Practice Address - Phone:757-893-9210
Practice Address - Fax:757-893-9247
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305003851225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist