Individual
MS. CANDICE GOLIGHTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4341 PIEDMONT AVE, SUITE #3, OAKLAND, CA 94611-4766
(510) 333-4579
(510) 740-3491
Mailing address
1037 AQUARIUS WAY, OAKLAND, CA 94611-1939
(510) 331-8000
(510) 740-3491
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7423
CA
225XP0200X
Pediatric Occupational Therapist
7423
CA
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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