Individual
LYDIA F MIDDLEKAUFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5038
Mailing address
15405 GLEN DR, BILOXI, MS 39532-7337
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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