Individual
KELLY ONEIL MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
69 MILL CREEK DR, CHARLOTTESVILLE, VA 22902-8786
(443) 310-8321
Mailing address
69 MILL CREEK DR, CHARLOTTESVILLE, VA 22902-8786
(443) 310-8321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1044085
OR
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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