Individual
ELENA LYNNE DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
7467 FENNEL RD, RANCHO CUCAMONGA, CA 91739-9720
(714) 307-9413
Mailing address
7467 FENNEL RD, RANCHO CUCAMONGA, CA 91739-9720
(714) 307-9413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2817
CA
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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