Individual
CANDACE LEE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 760-3623
Mailing address
PO BOX 3337, LOGAN, UT 84323-3337
(435) 760-3623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8227009-2401
UT
Other
Enumeration date
06/26/2017
Last updated
03/12/2020
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