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1790276996
TERI TIDWELL
MIDLAND, MI
NPI
1790276996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501006181)
Enumeration Date
2018-05-23
Last Update Date
2022-01-27
Business Address
TERI TIDWELL
4401 CAMPUS RIDGE DR
MIDLAND, MI 48640-6112
Phone number: 989-837-9100
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Mailing Address
TERI TIDWELL
4742 BRIARWOOD CT
AUBURN, MI 48611-8514
Phone number: 810-278-4599
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