Individual
CANDACE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36261 OKEFENOKEE DR, FOLKSTON, GA 31537-7853
(912) 496-7396
Mailing address
36261 OKEFENOKE DRIVE, FOLKSTON, GA 31537
(912) 496-7396
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001650
GA
Other
Enumeration date
03/04/2014
Last updated
10/02/2014
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