Individual
HANNAH GENE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
Mailing address
7625 OLD PACIFIC HWY N, CASTLE ROCK, WA 98611-9626
(360) 669-9967
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60923823
WA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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