Kristin M Middleton, OT

Individual provider Active NPI Occupational Therapist · Donalsonville, GA

NPI 1851600480 · NPPES record last updated Sep 30, 2010

Key facts

NPI
1851600480
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT003945 (GA)
Practice address
102 Hospital Circle
Donalsonville, GA 39845
Phone
(229) 524-5217
Fax
(229) 524-8217
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OT003945GAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT003945 GA Yes

Addresses

Primary practice location

102 Hospital Circle
Donalsonville, GA 39845

Mailing address

102 Hospital Cir
Donalsonville, GA 39845-1100
Phone (229) 524-5217

Other providers in Donalsonville, GA

All providers in Donalsonville, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.