Jeremy Cannon, PTA

NPI #1093175010 in Beaufort, South Carolina

Provider Information

NPI Number
1093175010
Entity Type
Individual
Name
Jeremy Cannon, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Mar 3, 2016
Last Updated
Jun 11, 2022

Practice Location

Address
95 SEA ISLAND PKWY STE 103
ZIP Code
29907-1499
Phone
(803) 942-6412

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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