Individual
MISS CYNTHIA LEIGH TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
605 SUNSET BLVD W # A, FORT WALTON BEACH, FL 32547-3614
(334) 300-4223
Mailing address
605 SUNSET BLVD W # A, FORT WALTON BEACH, FL 32547-3614
(334) 300-4223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31094
FL
Other
Enumeration date
05/21/2012
Last updated
10/11/2023
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