Individual
MRS. BRANDY DEVONNE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5001 OFFICE PARK, ODESSA, TX 79762-4843
(432) 362-1800
Mailing address
1103 E 56TH ST, ODESSA, TX 79762-4334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143143
TX
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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