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Contact Information

MA LOURDES M TADLIP
616 WADE AVE
RALEIGH, NC27605-1237
 Phone: 919-828-6251
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MA LOURDES M TADLIP · (Female)

NPI # 1154947661
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2020
Last updated 06/20/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 11455
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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