CHARLES CANNON

MELBOURNE, FL
NPI1467236745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA24789)
Enumeration Date2023-08-21
Last Update Date2023-08-21
Business Address
Mr. CHARLES CANNON PTA
1953 CRANE CREEK BLVD
MELBOURNE, FL 32940-6832
Phone number: 214-564-8293
Mailing Address
Mr. CHARLES CANNON PTA
1953 CRANE CREEK BLVD
MELBOURNE, FL 32940-6832
Phone number: 214-564-8293
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