Individual
MRS. CANDICE MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1247 MILL BAY RD, KODIAK, AK 99615-6409
(907) 486-9515
(907) 486-9516
Mailing address
3412 W 187TH PL, TORRANCE, CA 90504-5831
(310) 999-1937
(310) 327-2406
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
16092
CA
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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