Individual
KENDRA DANIELLE HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
60978136OTA.OC
Contact information
Practice address
800 MEDCALF ST, MONTESANO, WA 98563
(360) 249-2273
Mailing address
800 MEDCALF ST, MONTESANO, WA 98563-3414
(858) 472-8895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60978136OTA.OC
WA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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