| NPI | 1558886648 |
|---|---|
| Former Name | CANDICE MARIE MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18948) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26600) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-10-12 |