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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CANDICE FOUNTAIN

Active

CANDICE 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 A
JACKSON, MS, 392329505
Browse MS providers · Browse ZIP 39232
Phone
6016366019
Fax
6016618457
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.