Individual
MRS. DENISE LYNN CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
RIVER VALLEY PHYSICAL THERAPY, 535 E. NORTH STREET, SUITE C, BRADLEY, IL 60915
(815) 802-7503
Mailing address
147 S FOREST AVE, BRADLEY, IL 60915-2027
(773) 318-8526
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000129
IL
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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