Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE ETHRIDGE, PTA
ActiveNICOLE ETHRIDGE, PTA is a Occupational Therapist healthcare provider located in FLORA, Illinois. NPI 1922733484 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FLORA, IL
Registration Details
- NPI Number
- 1922733484
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2022 (3.8866969420623 yrs)
- Last Updated
- Jul 19, 2022
Practice Information
- Address
-
701 SHADWELL AVEFLORA, IL, 628392310Browse IL providers · Browse ZIP 62839
- Phone
- 6186628361
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FLORA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. SUSAN RENAE INGRAM | LPTA | 1427693126 |
| SHELBY CUFFLE | — | 1073243747 |
| HEATHER ATKINS | PTA | 1235823923 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.