Individual
MS. COURTNEY REBECCA MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT, CLT
Contact information
Practice address
1235 STATE ROUTE 332, FARMINGTON, NY 14425-1077
(585) 924-3642
Mailing address
21 WINDING RD, ROCHESTER, NY 14618-3818
(585) 746-7005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008582-1
NY
225XE1200X
Ergonomics Occupational Therapist
008582-1
NY
225XH1200X
Hand Occupational Therapist
008582-1
NY
Other
Enumeration date
11/15/2009
Last updated
11/15/2009
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