Provider Demographics
NPI:1437597317
Name:HARMS, CANDACE AUSTIN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:AUSTIN
Last Name:HARMS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FAWN CIR
Mailing Address - Street 2:
Mailing Address - City:FOXFIRE VILLAGE
Mailing Address - State:NC
Mailing Address - Zip Code:27281-9760
Mailing Address - Country:US
Mailing Address - Phone:910-281-0505
Mailing Address - Fax:
Practice Address - Street 1:1 FAWN CIR
Practice Address - Street 2:
Practice Address - City:FOXFIRE VILLAGE
Practice Address - State:NC
Practice Address - Zip Code:27281-9760
Practice Address - Country:US
Practice Address - Phone:910-281-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1447174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist