Healthcare Provider Details

I. General information

NPI: 1215874409
Provider Name (Legal Business Name): AYRA PALILEO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 TERRADO PLZ STE 106
COVINA CA
91723-3443
US

IV. Provider business mailing address

6373 CARTER ST
CHINO CA
91710-5390
US

V. Phone/Fax

Practice location:
  • Phone: 626-761-3031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number27995
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: