Individual
MS. DARLENE ELSIE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
710 S MARIETTA ST, GASTONIA, NC 28052-4355
(704) 861-8542
Mailing address
1002 CAPTAINS QUARTERS DR APT 20, DALLAS, NC 28034-2346
(704) 922-4196
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4665
NC
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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