Provider Demographics
NPI:1215585963
Name:ATKINSON, CANDI J (MOT, OT/L)
Entity Type:Individual
Prefix:MRS
First Name:CANDI
Middle Name:J
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MOT, OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-2320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20977 ZEP RD E
Practice Address - Street 2:
Practice Address - City:SARAHSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43779-9702
Practice Address - Country:US
Practice Address - Phone:740-391-0238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist