Individual
CHERYL JEANNE CANAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
82 KIDDER BROOK RD, ASHFORD, CT 06278-1014
(860) 429-4116
Mailing address
82 KIDDER BROOK RD, ASHFORD, CT 06278-1014
(860) 429-4116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003838
CT
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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