Individual
CANDACE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
598 INDIAN TRAIL RD S STE 141, INDIAN TRAIL, NC 28079-8689
(704) 975-7008
(704) 821-0570
Mailing address
5101 MONTANA CIR, CONCORD, NC 28027-9718
(704) 788-4747
(704) 821-0570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6581
NC
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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