Individual
MRS. CANDACE P GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3430 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-3716
(267) 237-3039
Mailing address
1193 LEEDOM RD, HUNTINGDON VALLEY, PA 19006-2707
(267) 237-3039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC000211L
PA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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