Stephen Cannon

NPI #1396067971 in Leicester, Massachusetts

Provider Information

NPI Number: 1396067971
Entity Type: Individual
Name: Stephen Cannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 23, 2010
Last Updated: Feb 23, 2010

Practice Location

Address: 1037 MAIN ST
City: Leicester
State: Massachusetts
ZIP Code: 01524-1313
Phone: (508) 892-1335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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