Individual
MABELLE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 UNIVERSITY PKWY, AIKEN, SC 29801-6308
(803) 649-9975
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9881
SC
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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