Individual
KAYLA RAE-RUIZ GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
23415 THREE NOTCH RD STE 2026, CALIFORNIA, MD 20619-4021
(240) 530-8188
(240) 237-8572
Mailing address
23415 THREE NOTCH RD STE 2026, CALIFORNIA, MD 20619-4021
(240) 530-8188
(240) 237-8572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09781
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09781
OT
MD
Enumeration date
09/06/2022
Last updated
03/06/2024
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