Provider Demographics
NPI:1972625390
Name:MCCANDLISH, HELEN CECELIA (PTA)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:CECELIA
Last Name:MCCANDLISH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 BAY DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7491
Mailing Address - Country:US
Mailing Address - Phone:614-212-2693
Mailing Address - Fax:614-891-6153
Practice Address - Street 1:682 BAY DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7491
Practice Address - Country:US
Practice Address - Phone:614-212-2693
Practice Address - Fax:614-891-6153
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1190174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist