Codilla, Mary Anne

Codilla, Mary Anne is an sole proprietor health care provider with primary practice located at 4301 Caroline Ct , Riverside CA 92506-2902. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation is her primary health care specialty. Codilla, Mary Anne can be contacted via phone (951) 683-7111.

Contact Information

Primary practice address
4301 Caroline Ct Riverside CA 92506-2902
Phone: (951) 683-7111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 719842 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 16295 California

Profile Details

NPI number 1649820226
LBN Legal business name Codilla, Mary Anne
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2019
Last updated Sep 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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