| 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 |