Individual
JOANNA MCCANDLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2726 BRUCHEZ PKWY UNIT 204, WESTMINSTER, CO 80234-3583
(757) 784-6459
Mailing address
2726 BRUCHEZ PKWY UNIT 204, WESTMINSTER, CO 80234-3583
(757) 784-6459
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306604331
VA
225200000X
Physical Therapy Assistant
Primary
PTA.0013352
CO
Other
Enumeration date
12/20/2015
Last updated
12/20/2015
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