TRAVIS TIDWELL

FAIRFAX STATION, VA
NPI1588919856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  CP051097T)
Enumeration Date2012-07-23
Last Update Date2026-02-25
Business Address
TRAVIS TIDWELL PT
5618H OX RD
FAIRFAX STATION, VA 22039-1018
Phone number: 703-426-4949
Mailing Address
TRAVIS TIDWELL PT
5618H OX RD
FAIRFAX STATION, VA 22039-1018
Phone number: 703-426-4949
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