Individual
LYNDA JEANNE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1185 MOLLY LN, EUGENE, OR 97404-2183
(541) 345-1329
Mailing address
1185 MOLLY LN, EUGENE, OR 97404-2183
(541) 345-1329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8399
OR
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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