Individual
ANGELINA LILY RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, COTA/L
Contact information
Practice address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 646-8000
Mailing address
29055 ROCKY SUMMIT DR, MENIFEE, CA 92587-7202
(424) 567-2287
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6257
CA
Other
Enumeration date
01/04/2022
Last updated
04/09/2026
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