Individual
DR. TIMOTHY VIDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1712 I ST NW, SUITE 410, WASHINGTON, DC 20006-3702
(202) 257-1363
Mailing address
103 WEBSTER ST NE, WASHINGTON, DC 20011-5067
(202) 679-0985
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
871303
DC
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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