Rachel Cannon
Occupational Therapist, Neurorehabilitation in Fort Worth, TX. Individual provider (NPI-1).
NPI number1760146591
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1760146591
- Entity type
- Individual (NPI-1)
- Name
- Rachel Cannon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2021
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XN1300X | Occupational Therapist, Neurorehabilitation | 118710 | TX | Yes |
Practice location
6601 Harris PkwyFort Worth, TX 76132-6108
Phone 817-738-9866
Mailing address
6601 Harris PkwyFort Worth, TX 76132-6108
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