Individual provider · Type 1 NPI

Jody Carol Cannon, COTA/L

Occupational Therapy Assistant · Robinson, IL

NPI number 1669035432 Active

Practice location

1000 N Allen St
Robinson, IL 62454-1114

Call (618) 546-2695 Map

Mailing address

2610 Springfield Ave
Lawrenceville, IL 62439-1850

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057002015 (IL)

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 1669035432

Jody Carol Cannon, COTA/L's National Provider Identifier is 1669035432, issued on Apr 17, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Robinson, IL. The record was last updated on Apr 17, 2019.