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Individual
KAYLA CANNON
Active
Individual
KAYLA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6131
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6131
OKLAHOMA MEDICAL BOARD
OK
Enumeration date
06/02/2025
Last updated
06/02/2025
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