Candace Lee Mitchell, COTA
NPI #1295075000 in Mc Leansboro, Illinois
Provider Information
- NPI Number
- 1295075000
- Entity Type
- Individual
- Name
- Candace Lee Mitchell, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Feb 15, 2013
- Last Updated
- Feb 15, 2013
Practice Location
- Address
- 611 S MARSHALL AVE
- City
- Mc Leansboro
- State
- Illinois
- ZIP Code
- 62859-1213
- Phone
- (618) 643-2361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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