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

Individual provider Occupational Therapist · NPI 1316659477

Redentor Codilla Jr. is an Occupational Therapist in Clovis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

4013 Heritage Ln
Clovis, CA 93619-5098
Phone: (559) 203-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 14757 (CA)

Record details

NPI number1316659477
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 20, 2022
Mailing address4013 Heritage Ln, Clovis, CA 93619-5098

Other providers in Clovis