Individual ProviderCandace AndersonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1176 N Euclid St, Anaheim, CA 92801-1900(714) 772-3211PECOS EnrollmentBased on the most recent information from CMS, provider Candace Anderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1386060341Provider TypeIndividualFull NameAnderson, CandaceGenderFemaleSole ProprietorNoEnumeration Date3/13/2014Last Updated6/23/2014Contact InformationPractice LocationPractice Address1176 N Euclid St, Anaheim, CA 92801-1900Phone(714) 772-3211FaxUnlisted FaxMailing LocationMailing Address1176 N Euclid St, Anaheim, CA 92801-1900PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense41097California