JACKIE B CANNON

DAGSBORO, DE
NPI1770628067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT003408L)
Additional Taxonomies2251X0800X Physical Therapist, Orthopedic
(Licence: SC  6994)
Enumeration Date2007-02-21
Last Update Date2019-02-25
Business Address
JACKIE B CANNON DPT
35111 SEAGRASS PLANTATION LN
DAGSBORO, DE 19939
Phone number: 866-484-8193
Mailing Address
JACKIE B CANNON DPT
35111 SEAGRASS PLANTATION LN
DAGSBORO, DE 19939-3391
Phone number: 866-484-8193
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