Individual
EBONY S MIDDLEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
4401 CRENSHAW BLVD, 300, LOS ANGELES, CA 90043-1227
(323) 290-8360
(323) 290-8366
Mailing address
4401 CRENSHAW BLVD, 300, LOS ANGELES, CA 90043-1227
(323) 290-8360
(323) 290-8366
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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