Individual
JENNIFER LYNNE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10000 E TARON DR, ELK GROVE, CA 95757-8194
(916) 683-3877
Mailing address
10000 E TARON DR, ELK GROVE, CA 95757-8194
(916) 683-3877
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1660
CA
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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