Most Relevant Information
Provider Data
| NPI Number: | 1003359183 |
| Provider Name: | CANDICE BUGH OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 9176 |
Most Important Dates
| Enumeration Date: | 11/22/2016 |
| Last Updated: | 11/22/2016 |
Provider Practice Location
205 GRANADA ST
CAMARILLO
CA
930107715
Practice Location Phone/Fax
| Phone: | 8054829805 |
| Fax: |
Provider Mailing Location
205 GRANADA ST
CAMARILLO
CA
930107715
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |