Individual
JEANNE ANNE CANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 S 8TH ST, CANON CITY, CO 81212-4906
(719) 345-4097
Mailing address
1227 POPLAR AVE, CANON CITY, CO 81212-4413
(719) 275-4232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1890
CO
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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