Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wendi Rae Kodalen, COTA

Individual provider Occupational Therapy Assistant · NPI 1548991797

Wendi Rae Kodalen, COTA is an Occupational Therapy Assistant in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

12842 Tilden Dr
Rancho Cucamonga, CA 91739-1805
Phone: (909) 747-7366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA1043 (CA)

Record details

NPI number1548991797
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

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