Individual
JEREMIAH CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8103 NORTH HOLW, SAN ANTONIO, TX 78240-2388
(210) 558-9001
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2251500000X
TX
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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