NPI | 1477786002 |
---|---|
Former Name | MEGHAN E HYDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-020331) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 8619) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2022-06-02 |