Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE LEAH WIETHOLDER, COTA/L
Active Sole ProprietorCANDICE LEAH WIETHOLDER, COTA/L is a Occupational Therapy Assistant healthcare provider located in MACOMB, Illinois. NPI 1902072556 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MACOMB, IL
Registration Details
- NPI Number
- 1902072556
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2008 (18.276846638446 yrs)
- Last Updated
- May 5, 2008
- License
-
057002361 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 DOCTORS LANEMACOMB, IL, 61455Browse IL providers · Browse ZIP 61455
- Phone
- 3098335555
- Fax
- 3098362390
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| PEGGY LOU PALMER | COTA/L | 1093981656 |
| KATHY ANN ECKROY | COTA/L | 1386810935 |
| CONNIE JO USSERY | — | 1962725036 |
| MYRNA LYNN HAYES | — | 1235452301 |
| MRS. CHRYSTAL MARIE MONTROY | COTA/L | 1447592886 |
| VICTORIA CLAIRE RICHARDS | COTA/L | 1467171074 |
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.