Individual
ASHLEY AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4334 LATHAM ST STE 110, RIVERSIDE, CA 92501-1748
(909) 519-8912
Mailing address
895 E ALVARADO ST APT L, POMONA, CA 91767-4936
(626) 225-6391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6897
CA
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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