David Tiderman
NPI #1417314204 in Lauderdale Lakes, Florida
Provider Information
- NPI Number
- 1417314204
- Entity Type
- Individual
- Name
- David Tiderman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jan 25, 2016
- Last Updated
- Jan 25, 2016
Practice Location
- Address
- 4850 W OAKLAND PARK BLVD
- City
- Lauderdale Lakes
- State
- Florida
- ZIP Code
- 33313-7260
- Phone
- (954) 735-3535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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