Individual
CANDICE GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 MARTHA DR, BOWMANSVILLE, NY 14026-1020
(716) 752-2177
Mailing address
9 MARTHA DR, BOWMANSVILLE, NY 14026-1020
(716) 752-2177
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
NYZHYLB3NZ
NY
225000000X
Orthotic Fitter
NYZHYLB3NZ
NY
335E00000X
Prosthetic/Orthotic Supplier
Primary
NYZHYLB3NZ
NY
Other
Enumeration date
08/29/2024
Last updated
09/10/2025
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