Individual
CANDACE KAY BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 E MCKINLEY AVE, SUITE 1, MISHAWAKA, IN 46545-6285
(574) 255-8730
(574) 255-8732
Mailing address
524 E MCKINLEY, SUITE 1, MISHAWAKA, IN 46545-6285
(574) 255-8730
(574) 255-8732
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000555A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201252240
—
IN
Enumeration date
07/18/2014
Last updated
02/15/2020
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