Individual
HANNA RUTH CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
171 CYPRESS BROOK CIR, 1311, MELBOURNE, FL 32901-8751
(321) 794-9040
Mailing address
171 CYPRESS BROOK CIR, 1311, MELBOURNE, FL 32901-8751
(321) 794-9040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13796
FL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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