Adria Cannon, STUDENT, PTA

NPI #1689258675 in Vashon, Washington

Provider Information

NPI Number: 1689258675
Entity Type: Individual
Name: Adria Cannon, STUDENT, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT, PTA
Enumeration Date: May 6, 2021
Last Updated: May 6, 2021

Practice Location

Address: 20110 VASHON HWY SW
City: Vashon
State: Washington
ZIP Code: 98070-6026
Phone: (206) 463-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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