Mrs Mary Anne Codilla, OTR/L is a
Occupational Therapist - Physical Rehabilitation based in Riverside, California. Mrs Mary Anne Codilla is licensed to practice in California (license number 16295) and her current practice location is
4301 Caroline Ct, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 683-7111.
NPI number for Mrs Mary Anne Codilla is 1649820226 and her current mailing address is 6681 Tanzanite St, Jurupa Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649820226.
Provider's Profile
Full Name | Mrs Mary Anne Codilla |
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Gender | Female |
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Speciality | Occupational Therapist - Physical Rehabilitation |
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Location | 4301 Caroline Ct, Riverside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649820226
- Provider Enumeration Date: 09/16/2019
- Last Update Date: 09/16/2019
Medical Identifiers
Medical identifiers for Mrs Mary Anne Codilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649820226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WM0705X | Registered Nurse - Medical-surgical | 719842 (California) | Secondary |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 16295 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Anne Codilla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary Anne Codilla, OTR/L 6681 Tanzanite St, Jurupa Valley, CA 91752-4461 Ph: (951) 743-4788 | Mrs Mary Anne Codilla, OTR/L 4301 Caroline Ct, Riverside, CA 92506-2902 Ph: (951) 683-7111 |
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