Individual
MEGHAN KATELYN MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50762 REBECCA DR, PAW PAW, MI 49079-8473
(313) 495-5925
Mailing address
50762 REBECCA DR, PAW PAW, MI 49079-8473
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202009991
MI
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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