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Individual

AMANDA MIDDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
701 S MAIN ST, SUMMITVILLE, IN 46070-8901
(765) 536-2261
Mailing address
6529 RALDON RD, ANDERSON, IN 46013-9599
(765) 639-6456

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004599A
IN

Other

Enumeration date
07/15/2008
Last updated
04/28/2021
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