Clinton Kincannon

NPI #1134925829 in Oxford, Florida

Provider Information

NPI Number
1134925829
Entity Type
Individual
Name
Clinton Kincannon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Feb 22, 2025
Last Updated
Feb 22, 2025

Practice Location

Address
12120 COUNTY ROAD 103
City
Oxford
State
Florida
ZIP Code
34484-2987
Phone
(352) 571-5554

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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