Individual
MS. ELIZABETH HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
310 BATH RD, BRUNSWICK, ME 04011-2651
(207) 373-6175
Mailing address
310 BATH RD, BRUNSWICK, ME 04011-2651
(207) 373-6175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT80
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275730099
—
ME
Enumeration date
08/29/2006
Last updated
10/18/2016
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