Individual
JULIA TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3605 RATLIFF RD, BIRMINGHAM, AL 35210-4512
(200) 956-2184
Mailing address
2160 IVY LN, HOOVER, AL 35226-2521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2259
AL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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