Individual
KATHERINE ELLIOTT CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 320-3668
Mailing address
1517 CARTER ST, RICHMOND, VA 23220-6903
(804) 920-4277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204298
VA
Other
Enumeration date
12/28/2005
Last updated
09/23/2016
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