Individual
RAYMOND RENE LUCIO CANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 334-7410
Mailing address
6301 UNIVERSITY COMMONS, SUITE 403, SOUTH BEND, IN 46635-1571
(574) 968-2851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005612A
IN
2251P0200X
Pediatric Physical Therapist
02179
MO
Other
Enumeration date
11/08/2011
Last updated
04/12/2024
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