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1972232288
MELANIE R CANNA
JACKSON, WY
NPI
1972232288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: WY OT-1631)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
MELANIE R CANNA OTR/L
625 E BROADWAY AVE
JACKSON, WY 83001-8642
Phone number: 307-733-3636
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Mailing Address
MELANIE R CANNA OTR/L
4935 S 1750 E
VICTOR, ID 83455-4304
Phone number: 585-733-0557
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