NPI | 1912314550 |
---|---|
Former Name | CANDY CRADDICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 1831) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115533) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2023-04-17 |