Individual
AMY R CANTILLION
Active
Individual
AMY R CANTILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273199
—
SC
01
—
P00817236
RR MEDICARE
SC
Enumeration date
05/08/2006
Last updated
11/23/2016
Update your record
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