Individual
CANDICE LORRAINE BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, CLT
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-1705
Mailing address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-1705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106852
TX
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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