Individual
CARL SANTOS CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1700 ADAMS AVE STE 103, COSTA MESA, CA 92626-4865
(714) 556-2288
(714) 435-1745
Mailing address
136 TUBEFLOWER, IRVINE, CA 92618-0870
(808) 227-3521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18913
CA
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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