Ethan Ridenour, COTA/L
Ethan Ridenour, COTA/L is an Occupational Therapy Assistant in Carrollton, Illinois. Works from 2 locations. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 4
What do these letters mean?
- COTA/L — Certified Occupational Therapy Assistant, Licensed
- An occupational therapy assistant who is both certified and state licensed.
Practice location Address checks out
320 4th StCarrollton, IL 62016-1135
Phone: (314) 328-9362
Fax: (618) 619-6881
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 610 Lowry St, Pittsfield, IL 62363-1768 — (217) 285-5200
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 057004022 (IL) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence 057001592 (IL) |
| Occupational Therapist | Taxonomy 225X00000X · Licence 056004047 (IL) |
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 146010465 (IL) |
Record details
| NPI number | 1912319039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | COTA/L |
| Sole proprietor | No |
| NPI enumerated | May 22, 2014 |
| Last updated in NPPES | October 15, 2018 |