Individual
MR. LAURIE LOUISE CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4641 ASHLEY VIEW LN, NORTH CHARLESTON, SC 29405-6759
(843) 571-1346
Mailing address
4641 ASHLEY VIEW LANE, NORTH CHARLESTON, SC 29405
(843) 571-1346
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1770
SC
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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