Individual
SAMUEL DOLAN CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
490 W EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2610
(650) 961-7370
(650) 961-2360
Mailing address
887 SALT LAKE DR, SAN JOSE, CA 95133-2922
(408) 667-6367
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 754
CA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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