ELAINE TIDWELL

Physical Therapy Assistant

Active Individual
NPI: 1033983416

Practice Address

1620 MAGNOLIA ST
Liberty, TX 77575

Phone: (936) 336-8844

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 2059491 (TX)

Frequently Asked Questions

NPI 1033983416 is the National Provider Identifier for ELAINE TIDWELL, a Physical Therapy Assistant provider located in Liberty, TX. This NPI was enumerated on November 7, 2023.
ELAINE TIDWELL practices at 1620 MAGNOLIA ST, Liberty, TX 77575.

Quick Facts

NPI
1033983416
Type
Individual
Enumerated
Nov 7, 2023
Last Updated
Nov 7, 2023

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