Angela D Cannon in Lucedale - Physical Therapist
Angela D Cannon - NPI 1831314871
Angela D Cannon is a Physical Therapist in Lucedale, Mississippi. Angela D Cannon practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Angela D Cannon is 1831314871. The last update date is 2009-03-31.
Angela D Cannon's current location address is 2210 Mill Street Ext # B, Lucedale, Mississippi. You can contact this provider via phone number 6019479005 and fax number 6019479007. The mailing address for Angela D Cannon is 2210 Mill Street Ext # B, Lucedale, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela D Cannon |
|---|---|
| Address | 2210 Mill Street Ext # B, Lucedale, Mississippi |
| Phone Number | 6019479005 |
| Fax Number | 6019479007 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1831314871 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2009-03-31 |
Provider Mailing Address Detail
| Address | 2210 Mill Street Ext # B |
|---|---|
| City | Lucedale |
| State | Mississippi (MS) |
| Post Code | 394526064 |
| Phone Number | 6019479005 |
| Fax Number | 6019479007 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT0748 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1033218524 | MS | GROUP NPI | |
| 9015077 | MS | -- |
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What is the unique 10-digit identification code assigned to Angela D Cannon by the Centers for Medicare & Medicaid Services?
The Angela D Cannon has been issued the NPI (National Provider Identifier) 1831314871, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Angela D Cannon's physical address?
The Angela D Cannon is physically located at 2210 Mill Street Ext # B, in the city of Lucedale, MS, with the postal code 394526064.
What is Angela D Cannon's area of expertise and its corresponding taxonomy classification?
The Angela D Cannon's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Angela D Cannon receive the assignment of its 1831314871 from the Centers for Medicare & Medicaid Services?
The Angela D Cannon was issued its 1831314871 by the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information related to Angela D Cannon most recently updated or refreshed?
The details pertaining to the Angela D Cannon, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-03-31.
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