Individual
MS. CANDACE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7122 FAIRCHILD DR, #101, ALEXANDRIA, VA 22306-7122
(202) 415-7932
Mailing address
7122 FAIRCHILD DR, #101, ALEXANDRIA, VA 22306-7122
(202) 415-7932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2011
Last updated
07/12/2012
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