Individual
CANDACE RENEE HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
911 JOE CLIFTON DR, PADUCAH, KY 42001-3747
(270) 619-6569
Mailing address
1535 US HIGHWAY 60 E, BURNA, KY 42028-9225
(270) 508-0830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02373
KY
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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