Individual
EMMANUEL CASTILLO AMORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001048
WV
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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