Redentor Codilla Jr.

Occupational Therapist · Clovis, CA

Individual Active NPI

NPI number 1316659477

Practice location

4013 Heritage Ln
Clovis, CA 93619-5098
Phone
(559) 203-0105

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NPI record

NPI
1316659477
Entity type
Individual (Type 1)
Enumeration date
December 21, 2022
Last updated
December 21, 2022
Certified
December 20, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 14757 CA

About Redentor Codilla

Redentor Codilla Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 4013 Heritage Ln, Clovis, CA 93619-5098. The NPI number 1316659477 was assigned on December 21, 2022 and the record was last updated on December 21, 2022.

Redentor Codilla lists a license in the registry: #14757 (CA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Redentor Codilla Jr.?

The NPI number is 1316659477.

What is the phone number of Redentor Codilla?

The phone number listed for the practice location is (559) 203-0105.

Where is Redentor Codilla located?

4013 Heritage Ln, Clovis, CA 93619-5098.

What is the taxonomy code for Redentor Codilla?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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