| NPI | 1659494383 |
|---|---|
| Former Name | CANDICE EAGON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19334) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT19334) |
| 224Z00000X Occupational Therapy Assistant (Licence: OH 03618) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-10-18 |