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Individual

CAROLINA CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
13223 BLACK MOUNTAIN RD, SAN DIEGO, CA 92129-2698
(858) 529-5536
Mailing address
804 LORING ST APT 1E, SAN DIEGO, CA 92109-1761
(704) 658-6776

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23385
CA

Other

Enumeration date
04/05/2022
Last updated
04/05/2022
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