Jody Carol Cannon, COTA/L

NPI #1669035432 in Robinson, Illinois

Provider Information

NPI Number
1669035432
Entity Type
Individual
Name
Jody Carol Cannon, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Apr 17, 2019
Last Updated
Apr 17, 2019

Practice Location

Address
1000 N ALLEN ST
ZIP Code
62454-1114
Phone
(618) 546-2695

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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