Khalila S Ilagan, COTA/LVN

NPI #1710536313 in Perris, California

Provider Information

NPI Number
1710536313
Entity Type
Individual
Name
Khalila S Ilagan, COTA/LVN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/LVN
Enumeration Date
Sep 5, 2019
Last Updated
Sep 5, 2019

Practice Location

Address
1034 CORDOZO ST
City
Perris
ZIP Code
92571-7778
Phone
(951) 623-2435

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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