KATIE TIDWELL

GEORGETOWN, DE
NPI1023859238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DE  J2-0000457)
Enumeration Date2024-06-03
Last Update Date2024-06-03
Business Address
KATIE TIDWELL PTA
110 W NORTH ST
GEORGETOWN, DE 19947-2144
Phone number: 302-856-4574
Mailing Address
KATIE TIDWELL PTA
28563 COLLINS FARM RD
MILLSBORO, DE 19966-1534
Phone number: 302-236-6913
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