| NPI | 1417438920 |
|---|---|
| Former Name | CLAIRE E CANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 043365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043365) |
| 2251S0007X Physical Therapist, Sports (Licence: NY 043365) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-05-10 |