Individual
MS. LILIE MARIE CANDIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21 LUTHER LN, HANNIBAL, MO 63401-1914
(573) 301-4748
Mailing address
PO BOX 1262, HANNIBAL, MO 63401-1262
(573) 301-4748
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0945
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
489987859
—
MO
Enumeration date
02/02/2007
Last updated
05/12/2025
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