Individual
MRS. CANDACE FOX STIKELEATHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1087 13TH ST SE, CHILDRENS NEUROTHERAPY SERVICES, HICKORY, NC 28602-4165
(828) 267-1688
(828) 267-1690
Mailing address
1087 13TH ST SE, CHILDRENS NEUROTHERAPY SERVICES, HICKORY, NC 28602-4165
(828) 267-1688
(828) 267-1690
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5630
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139A6
BCBS
NC
05
—
7301784
—
NC
01
—
E0249
MEDCOST
NC
Enumeration date
01/31/2006
Last updated
07/08/2007
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