Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MA Lourdes Maderazo Tadlip

Individual provider Geriatric Physical Therapist · NPI 1154947661

MA Lourdes Maderazo Tadlip is a Geriatric Physical Therapist in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
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Practice location Address checks out

616 Wade Ave
Raleigh, NC 27605-1237
Phone: (919) 828-6251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 11455 (NC)

Record details

NPI number1154947661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2020
Last updated in NPPESJune 20, 2020
Certification dateJune 20, 2020

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