Individual
CANDICE DAWN LIEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 208-2821
Mailing address
PO BOX 1265, GRAHAM, WA 98338-1265
(253) 208-2821
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003524
WA
Other
Enumeration date
04/13/2012
Last updated
03/12/2024
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