Individual provider · Type 1 NPI

Jenna R. Cannon, COTA/L

Occupational Therapy Assistant · Elsberry, MO

NPI number 1194598904 Active

Practice location

138 Tomahawk Dr
Elsberry, MO 63343-1151

Mailing address

56 Straight St
Elsberry, MO 63343-3503

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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…

2 other providers at this address

About NPI 1194598904

Jenna R. Cannon, COTA/L's National Provider Identifier is 1194598904, issued on Nov 2, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Elsberry, MO. The record was last updated on Aug 1, 2025.