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1871661116
ANDREA LEA TIDD
HOOVER, AL
NPI
1871661116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH3252)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
-- ANDREA LEA TIDD PT
2970 LORNA RD
HOOVER, AL 35216-4506
Phone number: 205-979-2619
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Mailing Address
-- ANDREA LEA TIDD PT
520 22ND AVE S
BIRMINGHAM, AL 35205-6430
Phone number: 205-790-1620
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