Healthcare Provider Details

I. General information

NPI: 1801059035
Provider Name (Legal Business Name): RHONDA JEAN MADIGAN COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHONDA JEAN RIPP COTA

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 9TH ST N
PARK FALLS WI
54552-1384
US

IV. Provider business mailing address

4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE OR
97222
US

V. Phone/Fax

Practice location:
  • Phone: 715-762-2474
  • Fax:
Mailing address:
  • Phone: 971-206-5167
  • Fax: 971-206-5209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1251027
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: