Joshua Amiel Elizalde Castro, PTRP, PTA, PT
Physical Therapy Assistant in New York, NY. Individual provider (NPI-1).
NPI number1023765005
StatusActive
Last updated in NPPESMar 9, 2022
Details
- NPI
- 1023765005
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joshua Amiel Elizalde Castro
- Credential
- PTRP, PTA, PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2022
- Certification date
- Mar 2, 2022
- Last updated
- Mar 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 012312-01 | NY | Yes |
| 225100000X | Physical Therapist | 045098-01 | NY |
Practice location
1345 Avenue Of The AmericasNew York, NY 10105
Phone 929-622-6080
Mailing address
73 Meetinghouse RidgeApartment 205
Meriden, CT 06450
Phone 929-622-6080
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All 159 Physical Therapy Assistant providers in New York · All 116,115 providers in New York
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