DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REDENTOR CODILLA JR.

Active Sole Proprietor

REDENTOR CODILLA JR. is a Occupational Therapist healthcare provider located in CLOVIS, California. NPI 1316659477 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CLOVIS, CA

Registration Details

NPI Number
1316659477
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2022 (3.4683405455633 yrs)
Last Updated
Dec 21, 2022
License
14757 (CA)
Sole Proprietor
Yes

Practice Information

Address
4013 HERITAGE LN
CLOVIS, CA, 936195098
Browse CA providers · Browse ZIP 93619
Phone
5592030105
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in CLOVIS, CA

Name Credential NPI
RACHAEL MARIE MAYU OTR 1235251794
MS. ERIN THERESE DOLIN MOT, OTR,L 1891919239
MELISSA DAVID CLAMOR OTRL 1982804423
REBECCA JACKSON 1588085963
MARIVIC LO RACHO OT 1174903744
MRS. RHELMA CODILLA OT 1760859920
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.