Provider Demographics
NPI:1295941052
Name:WESLEY, RODICA B (COTA)
Entity type:Individual
Prefix:MRS
First Name:RODICA
Middle Name:B
Last Name:WESLEY
Suffix:
Gender:F
Credentials:COTA
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Mailing Address - Street 1:10208 W WESTWIND DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-2787
Mailing Address - Country:US
Mailing Address - Phone:602-290-7411
Mailing Address - Fax:623-334-0636
Practice Address - Street 1:455 N 3RD ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-3924
Practice Address - Country:US
Practice Address - Phone:602-528-3450
Practice Address - Fax:602-528-3439
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant