Individual
SAMUEL ANTHONY BELCASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 MAPLEWOOD DR APT 2105, BRIDGEPORT, WV 26330-9118
(304) 933-3338
(304) 933-3339
Mailing address
1000 MAPLEWOOD DR APT 2105, BRIDGEPORT, WV 26330-9118
(304) 933-3338
(304) 933-3339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001993
WV
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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