Individual
CANDACE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7734 MACEDONIA RD, HOULKA, MS 38850-7327
(662) 568-2079
Mailing address
7734 MACEDONIA RD, HOULKA, MS 38850-7327
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2922
MS
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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