Individual
FREDYLYN OLIVAR GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(281) 703-9222
Mailing address
16597 MAKA RD, APPLE VALLEY, CA 92307-1349
(281) 703-9222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1754
CA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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