Individual
MRS. CANDACE J HLADIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3400 CREEK VIEW CT, NEWCASTLE, OK 73065-7202
(405) 496-9884
Mailing address
3400 CREEK VIEW CT, NEWCASTLE, OK 73065-7202
(405) 496-9884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1792
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1792
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE
OK
Enumeration date
06/19/2017
Last updated
06/19/2017
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