Whalio Doctors

NPI 1104337062

Demetras Chunta' Middleton, OTRL

Practitioner Occupational Therapist Cordova, TN

Practice location

Address
856 Willow Tree Cir, Cordova, TN 38018-6376
Phone
(901) 794-7988
Mailing address
4064 Bordeaux Creek Cv S, Memphis, TN 38125-2668

Registered specialties (2)

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 5535 (TN)
Physical Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4400 (TN)

Registry record

NPI
1104337062
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Oct 2017
Record last updated
18 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.