Individual
RACHEL LYNN WYLES-DE RYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9518 9TH ST STE C-1, RANCHO CUCAMONGA, CA 91730-4568
(909) 443-9919
Mailing address
15444 ROCHELLE ST, FONTANA, CA 92336-1030
(909) 368-7623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4879
CA
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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