Individual
CANDICE MARIE YENDRZEIWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CLT
Contact information
Practice address
115 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4403
(570) 938-4634
(570) 763-4374
Mailing address
114 E KIRMAR AVE, NANTICOKE, PA 18634-3610
(570) 814-5977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009462
PA
225XE0001X
Environmental Modification Occupational Therapist
OC009462
PA
225XP0019X
Physical Rehabilitation Occupational Therapist
OC009462
PA
Other
Enumeration date
05/05/2020
Last updated
11/04/2022
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