LYLES BLALOCK CANNON

PASADENA, MD
NPI1952409625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MD  21457)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
Mr. LYLES BLALOCK CANNON MPT, MS
8131 RITCHIE HWY SUITE E
PASADENA, MD 21122-6940
Phone number: 410-590-4360
Mailing Address
Mr. LYLES BLALOCK CANNON MPT, MS
6464 CEDAR FURNACE CIR
GLEN BURNIE, MD 21061-8825
Phone number: