TRAVIS MATTHEW TIDWELL

BEAVERCREEK, OH
NPI1588919856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60290874)
Enumeration Date2012-07-23
Last Update Date2013-05-21
Business Address
-- TRAVIS MATTHEW TIDWELL PT
2587 COMMONS BLVD SUITE 120
BEAVERCREEK, OH 45431-3841
Phone number: 937-426-5555
Mailing Address
-- TRAVIS MATTHEW TIDWELL PT
2587 COMMONS BLVD SUITE 120
BEAVERCREEK, OH 45431-3841
Phone number: 937-426-5555
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