Individual
DARLENE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W FRONTAGE RD STE 2415, NORTHFIELD, IL 60093-1212
(618) 407-7686
Mailing address
550 W FRONTAGE RD STE 2415, NORTHFIELD, IL 60093-1212
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003348
IL
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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