Individual
JA'KYRA TANNELL CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CALLIOPE WAY APT 203, RALEIGH, NC 27616-5158
(662) 404-1023
Mailing address
2701 CALLIOPE WAY APT 203, RALEIGH, NC 27616-5158
(662) 404-1023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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