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:
Health care specialties
| Specialty | Code | License # | 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 2 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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