Individual
CHRISTOPHER CANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
Mailing address
1430 NEW BOLTON DR, PORT ORANGE, FL 32129-5315
(330) 307-1118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891461300
—
FL
Enumeration date
10/12/2006
Last updated
01/25/2018
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