Individual
BRIANNE DELA CRUZ ILABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(702) 690-5080
Mailing address
5977 ENCELIA DR, TWENTYNINE PALMS, CA 92277-1935
(702) 690-5080
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7170
CA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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