Provider Demographics
NPI:1942702154
Name:SETTLEMOIR, CANDICE (COTA)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:SETTLEMOIR
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:
Other - Last Name:JEFFERIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:712 HIGHWAY 317
Mailing Address - Street 2:
Mailing Address - City:ASHDOWN
Mailing Address - State:AR
Mailing Address - Zip Code:71822-8465
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:712 HIGHWAY 317
Practice Address - Street 2:
Practice Address - City:ASHDOWN
Practice Address - State:AR
Practice Address - Zip Code:71822-8465
Practice Address - Country:US
Practice Address - Phone:903-293-0639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-03
Last Update Date:2018-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212572224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant