Individual
KEVIN CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CARLYLE DR APT 2JN, CLIFFSIDE PARK, NJ 07010-3502
(201) 208-3253
Mailing address
100 CARLYLE DR APT 2JN, CLIFFSIDE PARK, NJ 07010-3502
(201) 208-3253
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08231992
—
NJ
Enumeration date
08/06/2022
Last updated
05/11/2026
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