Individual
MISS CANDACE LEIGH BRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT STUDENT
Contact information
Practice address
601 S MARTIN LUTHER KING JR DR FL 432, WINSTON SALEM, NC 27110-0003
(336) 460-2089
Mailing address
2433 SPOONS CHAPEL RD, ASHEBORO, NC 27205-8122
(336) 460-2089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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