Individual
ISABEL VANDER HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
2346 E LAMBOURNE AVE, SALT LAKE CITY, UT 84109-2708
(616) 581-2614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14201323-4201
UT
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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