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Individual

MRS. CANDACE LANE CROWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
6600 KILLGORE DR, AMARILLO, TX 79106-3700
(806) 350-2259
Mailing address
6600 KILLGORE DR, AMARILLO, TX 79106-3700
(806) 350-2259

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210502
TX
224Z00000X
Occupational Therapy Assistant

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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