ETHAN RIDENOUR, COTA/L

COTA/L

Occupational Therapy Assistant

NPI: 1912319039Individual

Specialties, Licenses & Credentials

Occupational Therapy AssistantPrimary

Occupational Therapy Assistant

Code: 224Z00000X

057001592(IL)057004022(IL)

Occupational Therapist

Occupational Therapist

Code: 225X00000X

056004047(IL)

Speech-Language Pathologist

Speech-Language Pathologist

Code: 235Z00000X

146010465(IL)

Contact & Hours

Via practice · 2 locations total

Address: 320 4TH STREET
CARROLLTON, IL 62016
Phone: (314) 328-9362

Locations (2)

Practice Location

320 4TH STREET, CARROLLTON, IL

Practice Location

610 LOWRY ST, PITTSFIELD, IL

Quick Facts

NPI: 1912319039
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 4
Locations: 2

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