Girlie Nunez Candela, OTR/ L

Individual provider Active NPI Occupational Therapist · Marion, AR

NPI 1992995369 · NPPES record last updated Sep 12, 2011

Key facts

NPI
1992995369
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR2128 (AR)
Practice address
1154 L H Polk St
Marion, AR 72364-5010
Phone
(856) 558-3265
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OTR2128ARMDOccupational Therapist
46TR00374100NJMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00374100 NJ
Occupational Therapist 225X00000X OTR2128 AR Yes

Addresses

Primary practice location

1154 L H Polk St
Marion, AR 72364-5010

Mailing address

1154 L H Polk St
Marion, AR 72364-5010
Phone (856) 558-3265

Other providers in Marion, AR

All providers in Marion, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.