Individual provider · Type 1 NPI

Rickie C. Cannon Jr., COTA/L

Occupational Therapy Assistant · Little River, SC

NPI number 1104768902 Active

Practice location

4455 Barcelona Ln
Little River, SC 29566-8264

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5165 (SC)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1104768902

Rickie C. Cannon Jr., COTA/L's National Provider Identifier is 1104768902, issued on Apr 8, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Little River, SC. The record was last updated on Apr 8, 2026.