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Contact Information

CANDACE ANDERSON, COTA
598 INDIAN TRAIL RD S STE 141
INDIAN TRAIL, NC28079-8689
 Phone: 704-975-7008
 Fax: 704-821-0570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for CANDACE ANDERSON · (Female)

NPI # 1588856439
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 08/14/2007
Last updated 08/14/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 6581
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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