Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan Terry Van Gorden, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1134940059

Mr. Ryan Terry Van Gorden, COTA/L is an Occupational Therapy Assistant in Jacksonville, Florida. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5005
Phone: (904) 542-7375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5418 (CA)

Record details

NPI number1134940059
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

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