Individual
CHRISTEN TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3452 LAKE LYNDA DR STE 200, ORLANDO, FL 32817-1481
(800) 774-7785
Mailing address
3784 N JOT DR, CLARKSVILLE, TN 37040-5770
(615) 715-3612
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6188
TN
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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