Individual
ANDREW CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, SCS
Contact information
Practice address
70 BUTLER STREET, SALEM, NH 03079
(603) 893-2900
(603) 893-1628
Mailing address
70 BUTLER STREET, SALEM, NH 03079
(603) 893-2900
(603) 893-1628
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
4830
MA
2251X0800X
Orthopedic Physical Therapist
4830
MA
Other
Enumeration date
01/15/2009
Last updated
09/25/2015
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