Individual
JOSE CANELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3527 N VALDOSTA RD, VALDOSTA, GA 31602-6418
(229) 247-2290
Mailing address
5313 GOLF DR, LAKE PARK, GA 31636-3307
(229) 269-0158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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