Katie Tidwell, PTA
NPI #1023859238 in Georgetown, Delaware
Provider Information
- NPI Number
- 1023859238
- Entity Type
- Individual
- Name
- Katie Tidwell, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 3, 2024
- Last Updated
- Jun 3, 2024
Practice Location
- Address
- 110 W NORTH ST
- City
- Georgetown
- State
- Delaware
- ZIP Code
- 19947-2144
- Phone
- (302) 856-4574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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