Individual
ANDREA LEE CASTELLANO-JAOUHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
28780 SINGLE OAK DR, SUITE 290, TEMECULA, CA 92590-3625
(951) 639-5871
(951) 693-5872
Mailing address
24630 WASHINGTON AVE, STE. 200, MURRIETA, CA 92562-6177
(951) 696-9353
(951) 973-7216
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
8111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0081110
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
02/26/2008
Last updated
10/07/2009
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