TALIAH S TIDWELL

PHILADELPHIA, PA
NPI1992147185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  oc012919)
Enumeration Date2013-07-29
Last Update Date2025-01-02
Business Address
Dr. TALIAH S TIDWELL OT
7705 RUGBY ST
PHILADELPHIA, PA 19150-2507
Phone number: 215-868-4171
Mailing Address
Dr. TALIAH S TIDWELL OT
508 E BRINTON ST
PHILADELPHIA, PA 19144-1063
Phone number: 215-520-6325