Individual
CAMERON CANNADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1302 E MAIN ST, TUCUMCARI, NM 88401-2508
(575) 461-2200
Mailing address
1302 E MAIN ST, TUCUMCARI, NM 88401-2508
(575) 461-2200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1289
NM
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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