Individual
CANDACE C OGNOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
(360) 748-8360
Mailing address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
(360) 748-8360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60335983
WA
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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