Individual
MRS. MELINDA LEA HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1919 112TH ST SW, EVERETT, WA 98204-3784
(425) 513-1600
Mailing address
1919 112TH ST SW, EVERETT, WA 98204-3784
(425) 513-1600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00000172
WA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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