Individual
DAVID TIDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4850 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-7260
(954) 735-3535
Mailing address
680 TENNIS CLUB DR, #308, FORT LAUDERDALE, FL 33311-4059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26295
FL
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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