Individual
MARY CLARK CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 N STATE ST STE 210, JACKSON, MS 39202-2000
(601) 714-3202
(601) 714-3416
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-3205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6258
MS
Other
Enumeration date
09/19/2017
Last updated
03/23/2018
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