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

Malia Tidwell

Individual provider Physical Therapy Assistant · NPI 1639643463

Malia Tidwell is a Physical Therapy Assistant in Altamonte Springs, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

112 W Citrus St
Altamonte Springs, FL 32714-2502
Phone: (407) 865-5642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA209020 (FL)

Record details

NPI number1639643463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESJanuary 15, 2019
Mailing address305 E Pinewood Ct, Lake Mary, FL 32746-5900

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