Individual
MR. FRED MAYPA BATILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
11840 TRIOLO DR, RANCHO CUCAMONGA, CA 91701-8736
(909) 945-9798
Mailing address
11840 TRIOLO DR, RANCHO CUCAMONGA, CA 91701-8736
(909) 945-9798
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1031
CA
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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