Candice Fountain

Individual provider Driving and Community Mobility Occupational Therapist · NPI 1629150818

Candice Fountain is a Driving and Community Mobility Occupational Therapist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in: MS
In the registry since: 2006

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Practice location Address checks out

2475 Lakeland Dr Ste A
Jackson, MS 39232-9505
Phone: (601) 636-6019
Fax: (601) 661-8457

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driving and Community Mobility Occupational Therapist (primary)	Taxonomy 225XR0403X · Licence OT2019 (MS)

Record details

NPI number	1629150818
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	October 19, 2006
Last updated in NPPES	July 8, 2007