Individual
CANDACE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 W FAIRFIELD DR, PENSACOLA, FL 32506-4111
(850) 458-7735
Mailing address
3202 W NINE MILE RD APT 6207, PENSACOLA, FL 32534-9485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18434
FL
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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