Individual
MARY THERESE HYDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
(248) 684-9610
Mailing address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
(248) 684-9610
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501003381
MI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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