Individual
STACY HYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160-2502
(405) 912-3055
(405) 912-3059
Mailing address
700 S TELEPHONE RD, MOORE, OK 73160-2502
(405) 912-3055
(405) 912-3059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1937
OK
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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