| NPI | 1033585062 |
|---|---|
| Former Name | BETHANY L HYDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501303281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2015027115) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2024-06-07 |