Individual
KELSEY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7336
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/12/2017
Last updated
02/12/2017
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