Nelson Cannon, OT

NPI #1861963654 in Grayling, Michigan

Provider Information

NPI Number: 1861963654
Entity Type: Individual
Name: Nelson Cannon, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Dec 6, 2018
Last Updated: Dec 6, 2018

Practice Location

Address: 1100 E MICHIGAN AVE
City: Grayling
State: Michigan
ZIP Code: 49738-1312
Phone: (989) 348-0314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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