Individual
CANDACE LUE HUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 LIBERTY ST, COVINGTON, IN 47932-1715
(765) 793-4818
Mailing address
502 N 3RD ST, ATTICA, IN 47918-1147
(765) 585-3337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99043191A
IN
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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