Individual
MR. MIGUEL A CASTILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1922 LAKE ROBERTS LANDING DR, WINTER GARDEN, FL 34787-5579
(407) 917-1687
Mailing address
12301 WOODGLEN CIR, CLERMONT, FL 34711-6786
(304) 904-0875
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16053
FL
Other
Enumeration date
07/24/2017
Last updated
04/29/2019
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