Provider Demographics
NPI:1225221336
Name:WILKINS-RHODES, CINDY GAIL (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:GAIL
Last Name:WILKINS-RHODES
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 DIAMOND ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-4331
Mailing Address - Country:US
Mailing Address - Phone:570-326-5055
Mailing Address - Fax:
Practice Address - Street 1:6TH AVE AND SPRUCE STREET
Practice Address - Street 2:READING HOSPITAL & MEDICAL CENTER
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611
Practice Address - Country:US
Practice Address - Phone:610-988-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP001390L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030Medicaid