Individual
DUSTIN CASTLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
20873 EVA ST STE C, MONTGOMERY, TX 77356-1975
(936) 597-5323
(936) 597-8914
Mailing address
20873 EVA ST STE C, MONTGOMERY, TX 77356-1975
(936) 597-5323
(936) 597-8914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3130087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130087
STATE LICENSE
TX
Enumeration date
01/09/2023
Last updated
01/09/2023
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