Individual
JOSHUA DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17201 15TH AVE NE, SHORELINE, WA 98155-5129
(206) 364-9336
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160504755
WA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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