Individual
DANIELA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
187 KENLEY CT, MARIETTA, GA 30068-5100
(678) 670-6684
Mailing address
187 KENLEY CT, MARIETTA, GA 30068-5100
(678) 670-6684
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009299
GA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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