Individual
CANDACE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1348 BASS PRO DR, SAINT CHARLES, MO 63301-2461
(636) 757-5075
Mailing address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(636) 206-4225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020025044
MO
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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