Individual
CANDICE RAE CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4815 S HARVARD AVE STE 505, TULSA, OK 74135-3069
(918) 749-4040
Mailing address
5029 S TOLEDO AVE APT 8N, TULSA, OK 74135-3329
(918) 277-6098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1050
OK
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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