Individual
JASON CASTRO LAFUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, CEAS
Contact information
Practice address
9730 PRAIRIE LAKES BLVD E, NOBLESVILLE, IN 46060-4766
(317) 770-3644
Mailing address
13998 BRIGHTWATER DR, FISHERS, IN 46038-7181
(317) 525-7438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008691A
IN
Other
Enumeration date
06/29/2007
Last updated
09/26/2012
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