Individual
MRS. CANDACE FIELDS DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5600 GOODMAN RD STE D, OLIVE BRANCH, MS 38654-7002
(662) 895-4545
(662) 895-4546
Mailing address
5600 GOODMAN RD STE D, OLIVE BRANCH, MS 38654-7002
(662) 895-4545
(662) 895-4546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1774
MS
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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