Individual
JIMMIE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8250 TAFT CRK, SAN ANTONIO, TX 78254-4451
(210) 259-6321
Mailing address
8250 TAFT CRK, SAN ANTONIO, TX 78254-4451
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117063
TX
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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