IndividualActive
Ma Lourdes Tadlip
NPI 1154947661 · Geriatric Physical Therapist · Raleigh, NC
Provider details
- NPI number
- 1154947661
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11455 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
616 Wade Ave
Raleigh, NC 27605-1237
Phone: (919) 828-6251
Approximate (ZIP-level) locationGet directions
Mailing address
616 Wade Ave
Raleigh, NC 27605-1237
Registry dates
- Enumerated
- 2020-06-20
- Last updated
- 2020-06-20
- Certified
- 2020-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.