Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE FOUNTAIN
ActiveCANDICE FOUNTAIN is a Driving and Community Mobility Occupational Therapist healthcare provider located in JACKSON, Mississippi. NPI 1629150818 is currently active in the NPPES registry. Verify at CMS.
Driving and Community Mobility Occupational Therapist · JACKSON, MS
Registration Details
- NPI Number
- 1629150818
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2006 (19.855830001091 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OT2019 (MS)
Practice Information
- Address
-
2475 LAKELAND DR STE AJACKSON, MS, 392329505Browse MS providers · Browse ZIP 39232
- Phone
- 6016366019
- Fax
- 6016618457
- Primary Specialty
-
Driving and Community Mobility Occupational Therapist
225XR0403X
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.