Individual
MR. JON MARC TIDBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
551 YMCA PL, GAHANNA, OH 43230-6851
(614) 293-7600
(614) 293-7540
Mailing address
1173 WIMBELDON BLVD, COLUMBUS, OH 43228-9327
(614) 946-1669
(614) 293-7540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11384
OH
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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