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

Mrs. Mary Anne Codilla, OTR/L

Individual provider Medical-Surgical Registered Nurse · NPI 1649820226

Mrs. Mary Anne Codilla, OTR/L is a Medical-Surgical Registered Nurse in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4301 Caroline Ct
Riverside, CA 92506-2902
Phone: (951) 683-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 16295 (CA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 719842 (CA)

Record details

NPI number1649820226
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 16, 2019

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