Healthcare Provider Details

I. General information

NPI: 1194872374
Provider Name (Legal Business Name): CANDACE SHETZLER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 S QUEEN ST
DOVER DE
19904-3568
US

IV. Provider business mailing address

725 S QUEEN ST
DOVER DE
19904-3568
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-3350
  • Fax:
Mailing address:
  • Phone: 302-674-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberU1-0000348
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: