Individual
LAUREN D TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 K ST NW STE 300, WASHINGTON, DC 20006-1012
(301) 942-7600
(202) 419-0418
Mailing address
2730 UNIVERSITY BLVD W STE 310, WHEATON, MD 20902-1990
(301) 942-3126
(301) 942-3521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
06/16/2022
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