Individual
JADE MARIE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1501 PASADENA AVE S, SOUTH PASADENA, FL 33707-3717
(727) 527-5272
Mailing address
319 52ND ST W, PALMETTO, FL 34221-6706
(941) 822-9933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31308
FL
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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