Individual
MS. CAROLE G CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1090 RIO LANE, SACRAMENTO, CA 95822
(916) 446-2506
Mailing address
1301 E BIDWELL ST SUITE 201, FOLSOM, CA 95630
(916) 983-5915
(916) 983-5925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9227
CA
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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