Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDACE LEE MITCHELL, COTA
Active Sole ProprietorCANDACE LEE MITCHELL, COTA is a Occupational Therapy Assistant healthcare provider located in MC LEANSBORO, Illinois. NPI 1295075000 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MC LEANSBORO, IL
Registration Details
- NPI Number
- 1295075000
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2013 (13.455571045362 yrs)
- Last Updated
- Feb 15, 2013
- License
-
057003021 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
611 S MARSHALL AVEMC LEANSBORO, IL, 628591213Browse IL providers · Browse ZIP 62859
- Phone
- 6186432361
- Fax
- 6186433657
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MC LEANSBORO, IL
| Name | Credential | NPI |
|---|---|---|
| MEGAN CROSS | OTA | 1922287788 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.