CHAD LEON TIDWELL

FRESNO, CA
NPI1598317968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2019-07-15
Last Update Date2019-07-15
Business Address
MR. CHAD LEON TIDWELL OTR
1665 M ST
FRESNO, CA 93721-1121
Phone number: 559-268-5361
Mailing Address
MR. CHAD LEON TIDWELL OTR
1300 OWENS RD
AUBURN, AL 36830-2521
Phone number: 334-332-5225
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