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

David Tiderman

Individual provider Physical Therapy Assistant · NPI 1417314204

David Tiderman is a Physical Therapy Assistant in Lauderdale Lakes, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
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Practice location Address checks out

4850 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-7260
Phone: (954) 735-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 26295 (FL)

Record details

NPI number1417314204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 25, 2016
Last updated in NPPESJanuary 25, 2016

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