Individual
MRS. PAIGE ANN CASTELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
417 MIMOSA DR, DECATUR, GA 30030-3737
(404) 373-7181
Mailing address
417 MIMOSA DR, DECATUR, GA 30030-3737
(404) 373-7181
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001092
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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