Individual
MARIANNE GONZALES DE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 RUSSELL AVE, GAITHERSBURG, MD 20877-2800
(301) 216-4247
Mailing address
2490 SUN VALLEY CIR, SILVER SPRING, MD 20906-2230
(202) 999-7944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07548
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447657507
NPI TYPE 2 (ORGANIZATION NPI)
MD
05
—
4374045-00
—
MD
Enumeration date
11/22/2016
Last updated
03/07/2019
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