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
- City
- Beaufort
- State
- South Carolina
- ZIP Code
- 29907-1499
- Phone
- (803) 942-6412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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