Individual
CANDACE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
670 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 229-6498
Mailing address
215 VILLA VIEW WAY, HAMPTON, GA 30228-3611
(706) 289-6068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004193
GA
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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