Jackie B Cannon, DPT in Dagsboro, DE - Physical Therapist

Jackie B Cannon, DPT is a Physical Therapist based in Dagsboro, Delaware. Jackie B Cannon is licensed to practice in Pennsylvania (license number PT003408L) and her current practice location is 35111 Seagrass Plantation Ln, Dagsboro, Delaware. She can be reached at her office (for appointments etc.) via phone at (866) 484-8193.

NPI number for Jackie B Cannon is 1770628067 and her current mailing address is 35111 Seagrass Plantation Ln, Dagsboro, Delaware. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770628067.

Contact Information

	Jackie B Cannon, DPT
	35111 Seagrass Plantation Ln, Dagsboro, DE 19939
	(866) 484-8193
	(888) 516-4393

Healthcare Provider's Profile

Full Name	Jackie B Cannon
Gender	Female
Speciality	Physical Therapist
Location	35111 Seagrass Plantation Ln, Dagsboro, Delaware
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1770628067
Provider Enumeration Date: 02/21/2007
Last Update Date: 02/25/2019

Medical Identifiers

Medical identifiers for Jackie B Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770628067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	6994 (South Carolina)	Secondary
225100000X	Physical Therapist	PT003408L (Pennsylvania)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie B Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jackie B Cannon, DPT 35111 Seagrass Plantation Ln, Dagsboro, DE 19939-3391 Ph: (866) 484-8193	Jackie B Cannon, DPT 35111 Seagrass Plantation Ln, Dagsboro, DE 19939 Ph: (866) 484-8193

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Physical Therapist in Dagsboro, DE

Fit Consultants Physical Therapy, Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35111 Seagrass Plantation Ln, Dagsboro, DE 19939
Phone: 866-484-8193

Jackie B Cannon, DPT - Physical Therapist in Dagsboro, DE