Individual
CORY CASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
358 LAHONDA DR, VALPARAISO, IN 46385-8788
(219) 386-8266
Mailing address
358 LAHONDA DR, VALPARAISO, IN 46385-8788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006853A
IN
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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