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Individual

MS. KARA LEE CANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
517 TIMBERVIEW CIR, BOZEMAN, MT 59718-8288
(406) 600-8366
(406) 284-2210
Mailing address
PO BOX 1752, BOZEMAN, MT 59771-1752
(406) 600-8366
(406) 284-2210

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2766
CA
225XP0200X
Pediatric Occupational Therapist
OT2766
CA

Other

Enumeration date
07/22/2010
Last updated
01/17/2013
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