ETHAN RIDENOUR COTA/L
NPI 1912319039
Occupational Therapy Assistant in Carrollton, IL
About Ethan Ridenour Cota/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN RIDENOUR COTA/L (NPI 1912319039) is an individual occupational therapy assistant in Carrollton, Illinois, licensed in Illinois (057004022) and active in the NPI registry since May 2014. He maintains a secondary practice location in Pittsfield.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Ridenour's NPI number?
The NPI number for Ethan Ridenour is 1912319039. It was assigned to this individual provider in the NPPES registry on May 22, 2014.
Where is Ethan Ridenour located?
Ethan Ridenour practices at 320 4th Street, Carrollton, IL 62016. The listed phone number is (314) 328-9362.
What is Ethan Ridenour's specialty?
The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.
When was this NPI record last updated?
The NPPES record for Ethan Ridenour was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.