Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candace Lee Mitchell, COTA

Individual provider Occupational Therapy Assistant · NPI 1295075000

Candace Lee Mitchell, COTA is an Occupational Therapy Assistant in Mc Leansboro, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

611 S Marshall Ave
Mc Leansboro, IL 62859-1213
Phone: (618) 643-2361
Fax: (618) 643-3657
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057003021 (IL)

Record details

NPI number1295075000
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedFebruary 15, 2013
Last updated in NPPESFebruary 15, 2013
Mailing address611 S Marshall Ave, Mc Leansboro, IL 62859-1213

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