Individual
JESSICA CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2069 CALLE SOMBRA, SANTA FE, NM 87505-5435
(505) 920-6217
Mailing address
2069 CALLE SOMBRA, SANTA FE, NM 87505-5435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3892
NM
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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