Candice Leah Wietholder, COTA/L
NPI #1902072556 in Macomb, Illinois
Provider Information
- NPI Number
- 1902072556
- Entity Type
- Individual
- Name
- Candice Leah Wietholder, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- May 5, 2008
- Last Updated
- May 5, 2008
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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