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Candace Douglas, MA,ATC
NPI 1265846638 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5450 Montgomery Square Dr
Apt G
Kettering, OH 45440 - Phone
- (937) 367-3200
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio