CANDICE WIETHOLDER, COTA/L
Occupational Therapy Assistant
Active
Individual
NPI: 1902072556
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | 057002361 (IL) |
Frequently Asked Questions
NPI 1902072556 is the National Provider Identifier for CANDICE WIETHOLDER, COTA/L, a Occupational Therapy Assistant provider located in Macomb, IL. This NPI was enumerated on May 5, 2008.
CANDICE WIETHOLDER, COTA/L practices at 8 DOCTORS LANE, Macomb, IL 61455.
Quick Facts
- NPI
- 1902072556
- Type
- Individual
- Enumerated
- May 5, 2008
- Last Updated
- May 5, 2008
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