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Individual

PAUL A. CASTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(606) 324-0540
(606) 324-0616
Mailing address
213 15TH ST, ASHLAND, KY 41101-7623
(606) 325-3341

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
001579
WV
225100000X
Physical Therapist
Primary
002418
KY
225100000X
Physical Therapist
PT 07896
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001639000
WV
05
0001639001
WV
05
2055171
OH
05
2055172
OH
05
8700025300
KY
Enumeration date
11/16/2005
Last updated
06/10/2015
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