Individual
MRS. AMELIA STARR CASTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-4502
Mailing address
PO BOX 1118, THIBODAUX, LA 70302-1118
(985) 493-4502
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200102
LA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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