Individual
MONICA LYNN MIDDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
136 CANTON HOLLOW RD, KNOXVILLE, TN 37934-3003
(865) 984-6561
Mailing address
2417 WASHINGTON AVE, KNOXVILLE, TN 37917-7041
(585) 750-5231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3199
SC
Other
Enumeration date
05/29/2013
Last updated
08/11/2022
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