CANDACE LEA DANIELS

POPLARVILLE, MS
NPI1821389750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2355)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: LA  OTA.200205)
Enumeration Date2011-04-26
Last Update Date2011-04-26
Business Address
CANDACE LEA DANIELS COTA/L
555 SPRING HILL RD
POPLARVILLE, MS 39470-8742
Phone number: 601-408-0691
Mailing Address
CANDACE LEA DANIELS COTA/L
555 SPRING HILL RD
POPLARVILLE, MS 39470-8742
Phone number: 601-408-0691