Individual
LEAH NICCOLE HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1531 E BRADFORD PKWY STE 210-4, SPRINGFIELD, MO 65804-6539
(417) 343-6764
Mailing address
210 EAGLE LN, WILLARD, MO 65781-7513
(417) 633-8386
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023037213
MO
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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