Provider Demographics
NPI:1477648368
Name:FEDROWITZ, CANDACE A (OTR)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:A
Last Name:FEDROWITZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:A
Other - Last Name:GRENZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2251 N SHORE DR
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-8360
Mailing Address - Country:US
Mailing Address - Phone:715-361-2300
Mailing Address - Fax:715-361-2877
Practice Address - Street 1:2251 N SHORE DR
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-8360
Practice Address - Country:US
Practice Address - Phone:715-361-2300
Practice Address - Fax:715-361-2877
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist