Individual
MRS. SHANNON RENEE' HYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5070 SANDERLIN AVE, MEMPHIS, TN 38117-4332
(901) 682-5677
Mailing address
3553 CARNES AVE, MEMPHIS, TN 38111-5703
(901) 921-3766
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
3909
TN
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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