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Individual

MS. CAROLINA ANNA CANDELARIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
1102 N HOWE ST BLDG L, SOUTHPORT, NC 28461-3042
(910) 278-6794
(910) 278-6794
Mailing address
301 NE 42ND ST, OAK ISLAND, NC 28465-5450
(910) 278-6794
(910) 278-6794

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2675
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079CK
BCBSNC
NC
Enumeration date
07/03/2007
Last updated
10/05/2018
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