Cannon, Lyles Blalock

Cannon, Lyles Blalock is an individual health care provider with primary practice located at 8131 Ritchie Hwy Suite E, Pasadena MD 21122-6940. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cannon, Lyles Blalock can be contacted via phone (410) 590-4360.

Contact Information

Primary practice address
8131 Ritchie Hwy Suite E Pasadena MD 21122-6940
Phone: (410) 590-4360
Fax: (410) 590-4365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 21457 Maryland

Profile Details

NPI number 1952409625
LBN Legal business name Cannon, Lyles Blalock
Credentials MPT, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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