Individual
MR. RYLEE AGULTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1417 S PARTON ST, SANTA ANA, CA 92707-1629
(623) 225-6002
Mailing address
1417 S PARTON ST, SANTA ANA, CA 92707-1629
(623) 225-6002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3759
CA
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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