Individual
CANDACE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
41850 W 11 MILE RD STE 110, NOVI, MI 48375-1857
(248) 719-7002
Mailing address
41850 W 11 MILE RD STE 110, NOVI, MI 48375-1857
(248) 719-7002
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201008338
MI
Other
Enumeration date
09/26/2014
Last updated
09/01/2022
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