Individual
MISS GINA RENEE AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
31741 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-6722
(949) 496-3109
Mailing address
21201 JASMINES WAY, LAKE FOREST, CA 92630-7607
(310) 210-3069
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OTA704
CA
Other
Enumeration date
05/03/2007
Last updated
04/26/2010
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