Individual provider · Type 1 NPI

Jonathan Ethan White, COTA

Occupational Therapy Assistant · South Holland, IL

NPI number 1225374366 Active

Practice location

751 E 163rd Pl
South Holland, IL 60473-2306

Mailing address

751 East 163rd Place
South Holland, IL 60473

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057003706 (IL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1225374366

Jonathan Ethan White, COTA's National Provider Identifier is 1225374366, issued on Dec 18, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in South Holland, IL. The record was last updated on Dec 18, 2012.