Individual
TIMOTHY MIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2990 E RAMON RD, PALM SPRINGS, CA 92264-7931
(760) 323-2638
Mailing address
2990 E RAMON RD, PALM SPRINGS, CA 92264-7931
(760) 323-2638
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA849
CA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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