Individual
BRIAN KEITH CANAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 S SEMORAN BLVD, WINTER PARK, FL 32792-5313
(407) 961-6297
Mailing address
PO BOX 115, BLOOMERY, WV 26817-0115
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5240
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A5240
—
MD
Enumeration date
08/08/2019
Last updated
08/08/2019
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