Individual
CARINE N/A CASTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
272 SHEFFIELD CHASE, N/A, MCDONOUGH, GA 30253-5936
(678) 491-5980
Mailing address
272 SHEFFIELD CHASE, N/A, MCDONOUGH, GA 30253-5936
(678) 491-5980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001310
GA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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