Individual
MRS. FREDIZMINDA CASTILLO TAMAYO-TSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
2555 HACKMANN RD, SAINT CHARLES, MO 63303-5452
(636) 851-6200
Mailing address
2366 CEDAR LAKE DRIVE, MARYLAND HEIGHTS, MO 63043
(314) 576-7327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0032792
MO
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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