Individual
MR. CARLOS RENE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1112 S 48TH ST, SPRINGDALE, AR 72762-5848
(479) 751-3900
(479) 751-3011
Mailing address
PO BOX 871, TONTITOWN, AR 72770-0871
(479) 444-6277
(479) 444-6278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2139
AR
Other
Enumeration date
08/09/2013
Last updated
08/12/2013
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