Individual
ANDREA LEA TIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2970 LORNA RD, HOOVER, AL 35216-4506
(205) 979-2619
Mailing address
520 22ND AVE S, BIRMINGHAM, AL 35205-6430
(205) 790-1620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3252
AL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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