Kodalen, Wendi Rae

Kodalen, Wendi Rae is an individual health care provider with primary practice located at 12842 Tilden Dr , Rancho Cucamonga CA 91739-1805. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Kodalen, Wendi Rae can be contacted via phone (909) 747-7366.

Contact Information

Primary practice address
12842 Tilden Dr Rancho Cucamonga CA 91739-1805
Phone: (909) 747-7366
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA1043 California

Profile Details

NPI number 1548991797
LBN Legal business name Kodalen, Wendi Rae
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2022
Last updated Jun 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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