Provider Demographics
NPI:1548650336
Name:CLAUSSEN, CANDACE CATHERINE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:CATHERINE
Last Name:CLAUSSEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 GRANDVIEW ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:MO
Mailing Address - Zip Code:64601-1933
Mailing Address - Country:US
Mailing Address - Phone:417-893-8798
Mailing Address - Fax:
Practice Address - Street 1:1700 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-1545
Practice Address - Country:US
Practice Address - Phone:660-646-0170
Practice Address - Fax:660-646-0173
Is Sole Proprietor?:No
Enumeration Date:2015-01-31
Last Update Date:2015-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO003427225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist