| NPI | 1205282704 |
|---|---|
| Other Name | BETH DYCUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11071) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2022-12-15 |