Individual
MS. ANGELA THERESA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
1382 OLD WHITESVILLE ROAD, MONCKS CORNER, SC 29461
(912) 604-7624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2125
SC
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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