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Individual

MRS. CANDICE LISA DIAMOND-KRUPITSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS OTRL CHT

Taxonomy

Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
03982
MD
225XH1200X
Hand Occupational Therapist
Primary
03982
MD
225XP0200X
Pediatric Occupational Therapist
03982
MD

Other

Enumeration date
02/05/2007
Last updated
06/26/2008
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