Individual
EUGENE CANNON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
785 CHERRY TREE CT, HANOVER, PA 17331-7902
(717) 316-7030
Mailing address
785 CHERRY TREE CT, HANOVER, PA 17331-7902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT028329
PA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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