Individual
MRS. EILEEN LAURIE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-5614
(719) 776-2534
Mailing address
15805 DAWSON CREEK DR, MONUMENT, CO 80132-6067
(719) 487-8703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2716
CO
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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