Individual
GINA MARCELLA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
95 LYNWOOD AVE, SCRANTON, PA 18505-2879
(803) 415-2155
Mailing address
95 LYNWOOD AVE, SCRANTON, PA 18505-2879
(803) 415-2155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215690
TX
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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