Individual
MRS. DEMETRAS CHUNTA' MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
856 WILLOW TREE CIR, CORDOVA, TN 38018-6376
(901) 794-7988
Mailing address
4064 BORDEAUX CREEK CV S, MEMPHIS, TN 38125-2668
(901) 428-5701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4400
TN
225X00000X
Occupational Therapist
Primary
5535
TN
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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