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Individual

ADRIA CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
STUDENT, PTA

Contact information

Practice address
20110 VASHON HWY SW, VASHON, WA 98070-6026
(206) 463-5511
Mailing address
25777 GOLD BEACH DR SW, VASHON, WA 98070-8529
(206) 708-3850

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
60567605
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/06/2021
Last updated
05/06/2021
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