Individual
MRS. LORI ANN HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
35746 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3212
(586) 791-9203
Mailing address
22524 TROMBLY ST, ST CLR SHORES, MI 48080-2886
(586) 778-3649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003121
MI
Other
Enumeration date
03/14/2009
Last updated
03/14/2009
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