Individual
CAITLYN M CASTONGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406
(843) 569-4546
(843) 569-4535
Mailing address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9234
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9234
MEDICAL LICENSE NUMBER
SC
Enumeration date
08/02/2016
Last updated
08/29/2019
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