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1902328248
WHITNEY TIDWELL
BOULDER, CO
NPI
1902328248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2017-07-07
Last Update Date
2017-07-07
Business Address
Mrs. WHITNEY TIDWELL
2800 PALO PKWY
BOULDER, CO 80301-1540
Phone number: 303-357-3330
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Mailing Address
Mrs. WHITNEY TIDWELL
10184 SAINT PAUL DR
THORNTON, CO 80229-2772
Phone number: 719-239-1066
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