Individual
MEGAN KRISTINE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9621 BITTER MELON DR, ANGIER, NC 27501-5917
(919) 275-9675
Mailing address
334 SOMERSET DR, RAEFORD, NC 28376-5437
(218) 348-7124
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11681
NC
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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