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1528510658
CHRISTEN TIDWELL
ORLANDO, FL
NPI
1528510658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TN 6188)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- CHRISTEN TIDWELL PTA
3452 LAKE LYNDA DR STE 200
ORLANDO, FL 32817-1481
Phone number: 800-774-7785
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Mailing Address
-- CHRISTEN TIDWELL PTA
3784 N JOT DR
CLARKSVILLE, TN 37040-5770
Phone number: 615-715-3612
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