Individual
CANDICE ELAINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2481
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2481
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000194
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382947657
—
MI
Enumeration date
04/30/2018
Last updated
04/30/2018
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