Individual
MRS. BONNIE JEAN MIDDLEBROOKS
Active
Individual
MRS. BONNIE JEAN MIDDLEBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204441
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1820904006
UNITED HEALTHCARE
VA
01
—
193561
HEALTHKEEPERS
VA
01
—
2138099
FIRST HEALTH
VA
01
—
2166605
ALLIANCE HMO,EC,MC
VA
01
—
57767
OPTIMA HEALTH INS
VA
01
—
592523
AETNA
VA
Enumeration date
04/14/2008
Last updated
11/14/2008
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