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Individual

MR. ERIC D. HYDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
8929 PARALLEL PARWAY, PROVIDENCE MEDICAL CENTER-REHABILITATION DEPARTMENT, KANSAS CITY, KS 66112
(913) 596-5143
Mailing address
13017 EVERETT CT, KANSAS CITY, KS 66109-5311
(913) 721-3010

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
106098
MO
225100000X
Physical Therapist
Primary
11-02796
KS

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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