Individual
BENJAMIN CASTILLO MADRID JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(213) 226-7437
Mailing address
1234 AGATE ST, APT D, REDONDO BEACH, CA 90277-2314
(310) 508-0624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2240
CA
Other
Enumeration date
05/10/2007
Last updated
12/06/2008
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