Individual
DANIELA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 EMMETT ST STE 102, KISSIMMEE, FL 34741-3605
(407) 913-1010
Mailing address
1000 EMMETT ST STE 102, KISSIMMEE, FL 34741-3605
(407) 913-1010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA19092
FL OT LICENSE
FL
Enumeration date
08/24/2022
Last updated
08/24/2022
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