MALIA TIDWELL

ALTAMONTE SPRINGS, FL
NPI1639643463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA209020)
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
MALIA TIDWELL
112 W CITRUS ST
ALTAMONTE SPRINGS, FL 32714-2502
Phone number: 407-865-5642
Mailing Address
MALIA TIDWELL
305 E PINEWOOD CT
LAKE MARY, FL 32746-5900
Phone number: 407-923-4090
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