Individual
DAVID FRANKLIN LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1717 NE 2ND ST, REDMOND, OR 97756-8249
(541) 977-5559
Mailing address
PO BOX 1510, SISTERS, OR 97759-1510
(541) 977-5559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4266
OR
2251X0800X
Orthopedic Physical Therapist
4266
OR
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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