Provider Demographics
NPI:1942343173
Name:CANALY, RICHARD LOUIS (LPTA RN BSN NY)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LOUIS
Last Name:CANALY
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Gender:M
Credentials:LPTA RN BSN NY
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Mailing Address - Street 1:15798 BIRCHCROFT DR
Mailing Address - Street 2:
Mailing Address - City:BROOK PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142
Mailing Address - Country:US
Mailing Address - Phone:216-265-9245
Mailing Address - Fax:216-265-9245
Practice Address - Street 1:1835 BELMORE RD
Practice Address - Street 2:CANDLEWOOD PARK HEALTHCARE CENTERS
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112
Practice Address - Country:US
Practice Address - Phone:216-268-3600
Practice Address - Fax:216-761-1322
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY258018163W00000X
OH00883225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant