Individual
SARAH TIDSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
219 GERALD DR, SIMPSONVILLE, SC 29681-4111
(864) 483-2992
(864) 757-9209
Mailing address
219 GERALD DR, SIMPSONVILLE, SC 29681-4111
(864) 483-2992
(864) 757-9209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6079
SC
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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