Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Marie Codilla

Individual provider Occupational Therapy Assistant · NPI 1205386752

Alexis Marie Codilla is an Occupational Therapy Assistant in Mira Loma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

6752 Leanne St
Mira Loma, CA 91752-3476
Phone: (951) 427-3889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3681 (CA)

Record details

NPI number1205386752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2016
Last updated in NPPESOctober 8, 2016