| Candice Fountain, | |
|
2475 Lakeland Dr Ste A, Jackson, MS 39232-9505 | |
| (601) 636-6019 | |
| (601) 661-8457 |
| Full Name | Candice Fountain |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Driving And Community Mobility |
| Location | 2475 Lakeland Dr Ste A, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629150818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XR0403X | Occupational Therapist - Driving And Community Mobility | OT2019 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Fountain, 1054 Highland Cove Pl, Ridgeland, MS 39157-1523 Ph: (601) 636-6019 | Candice Fountain, 2475 Lakeland Dr Ste A, Jackson, MS 39232-9505 Ph: (601) 636-6019 |
Barbara A Wiggins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Northtown Dr, Suite 110 Trinity Rehab, Jackson, MS 39211 Phone: 601-206-9195 Fax: 601-957-8391 | |
Dayna Michelle Lombas, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Northtown Dr, Trinity Rehab Suite 110, Jackson, MS 39211 Phone: 601-206-9195 Fax: 601-957-8391 | |
Jamie M Austin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 I 55 N, Suite 291, Highland Village, Jackson, MS 39211 Phone: 601-362-0859 | |
Mrs. Sallie Gardner Metcalf, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N State St Ste 210, Jackson, MS 39202 Phone: 662-242-0377 | |
Niesha Lasha Gilmore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 519 Scott St, Jackson, MS 39203 Phone: 601-951-7458 | |
Dr. Cozetta Marie Mcmillian, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Meadow Ln, Jackson, MS 39212 Phone: 601-209-6453 | |
Autumn B Tamor, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1417 Lelia Dr, Jackson, MS 39216 Phone: 601-551-5612 |