Individual
CANDICE FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 W BREWSTER ST, APPLETON, WI 54914-6444
(920) 832-1657
(920) 968-4153
Mailing address
754 ELM ST, NEENAH, WI 54956-3823
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
526927
WI
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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