Individual
MR. JAMES CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4609 NOTTINGHAM WAY, TRENTON, NJ 08690-3819
(609) 436-9089
Mailing address
19 CARROUSEL LN, TRENTON, NJ 08619-3446
(609) 664-1663
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00358400
NJ
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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