Doctor Name: | ANGELA D CANNON |
NPI Number: | 1831314871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT0748 |
Business Practice Address: | 2210 Mill Street Ext # B Lucedale, MS - 394526064 |
Business Phone Number: | 6019479005 |
Business Fax Number: | 6019479007 |
Mailing Address: | Po Box 8419, BILOXI |
State: | MS |
Postal Code: | 395358087 |
Phone Number: | 2283885714 |
Fax Number: | 2283880017 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 03/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |