Individual
KEILAHNA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4476 VERSATILE CT SW, WYOMING, MI 49418-8773
(616) 301-5310
Mailing address
4476 VERSATILE CT SW, WYOMING, MI 49418-8773
(616) 301-5310
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
82087
MI
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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