Individual
DANIELLE BROOKE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1714 S GOLD ST, CENTRALIA, WA 98531-8951
(360) 360-5532
(564) 999-5722
Mailing address
877 SAINT MARYS RD, SIDNEY, OH 45365-8125
(937) 245-0634
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A031102
KY
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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