Individual
EMILY H MIDDLEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
487 LAKE CONCORD RD NE, CONCORD, NC 28025
(704) 403-3000
Mailing address
10043 IDLEWILD RD APT 341, MATTHEWS, NC 28105-2042
(704) 545-4220
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5205
NC
Other
Enumeration date
01/13/2016
Last updated
07/27/2018
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