Individual
MS. TANJAY MARIE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
24203 ALLIENE AVE, LOMITA, CA 90717-1049
(323) 717-9196
Mailing address
24203 ALLIENE AVE, LOMITA, CA 90717-1049
(323) 717-9196
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
28582
CA
Other
Enumeration date
03/30/2010
Last updated
06/21/2012
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