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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WENDI RAE KODALEN, COTA

Active

WENDI RAE KODALEN, COTA is a Occupational Therapy Assistant healthcare provider located in RANCHO CUCAMONGA, California. NPI 1548991797 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · RANCHO CUCAMONGA, CA

Registration Details

NPI Number
1548991797
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2022 (4.1148643469754 yrs)
Last Updated
Jun 20, 2022
License
OTA1043 (CA)

Practice Information

Address
12842 TILDEN DR
RANCHO CUCAMONGA, CA, 917391805
Browse CA providers · Browse ZIP 91739
Phone
9097477366
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in RANCHO CUCAMONGA, CA

Name Credential NPI
MR. FRED MAYPA BATILLER COTA/L 1821431958
CHRISTOPHER DELA CRUZ 1427448422
KERRY PATTERSON 1194115071
ALISHA SPRINGER 1992190375
RACHEL LYNN WYLES-DE RYK COTA 1700439601
KEENYA BURRIES 1356971659
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.