Individual
BRYAN KEITH CASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5772 S STATE ROUTE 721, LAURA, OH 45337-9717
(614) 419-7750
Mailing address
5772 S STATE ROUTE 721, LAURA, OH 45337-9717
(614) 419-7750
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#04255
STATE OF OHIO PTA LISCENSE
OH
Enumeration date
09/02/2010
Last updated
09/02/2010
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