Individual
CRYSTAL CASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
11200 GOVERNOR MANLY WAY, SUITE 209, RALEIGH, NC 27614-8599
(919) 562-9410
Mailing address
3200 SHORE VIEW RD, APT 30, RALEIGH, NC 27613-3991
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2056
NC
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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