Individual
CANDACE R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
504 WESTRIDGE RD, COLUMBIA, SC 29229-7804
(866) 571-2700
Mailing address
504 WESTRIDGE RD, COLUMBIA, SC 29229-7804
(866) 571-2700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2448
SC
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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