Individual
ALONSO JAVIER CASTRELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
12881 KNOTT ST, GARDEN GROVE, CA 92841-3925
(714) 892-6828
Mailing address
15015 S NORMANDIE AVE APT 13, GARDENA, CA 90247-2998
(424) 223-4064
(424) 223-4064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3870
CA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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