Individual
MR. IRENEO CANDELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/ L
Contact information
Practice address
1924 EDGEWATER ST, CELINA, TX 75009-2145
(856) 558-1268
Mailing address
PO BOX 6706, MCKINNEY, TX 75071-5118
(856) 558-1268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115167
TX
Other
Enumeration date
07/31/2007
Last updated
09/18/2023
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