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Individual

CANDICE LEIGH ONDRACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-0775
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-0775

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2003
CA

Other

Enumeration date
12/10/2010
Last updated
12/10/2010
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