Individual
ANDREA LAVON HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10587 DOUBLE R BLVD STE 101, RENO, NV 89521-8966
(775) 324-5371
(775) 852-5373
Mailing address
14760 GRANITE MINE DR, RENO, NV 89521-8320
(775) 742-3102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0907
NV
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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