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Individual
MICHAEL CASILLAS
Active
Individual
MICHAEL CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05014111A
IN
225100000X
Physical Therapist
Primary
CP024532T
GA
225100000X
Physical Therapist
CP050579T
NC
225100000X
Physical Therapist
CP051930T
KY
225100000X
Physical Therapist
CP054234T
SC
225100000X
Physical Therapist
PT050579T
NC
Other
Enumeration date
10/06/2020
Last updated
03/23/2026
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