Individual
JESSICA A CASTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4855 W 1800 S, REMINGTON, IN 47977-8609
(219) 869-1060
Mailing address
4855 W 1800 S, REMINGTON, IN 47977-8609
(219) 869-1060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002452A
IN
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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