Jeremy O. Castillo
Developmental Therapist in Worcester, MA. Individual provider (NPI-1).
NPI number1164088720
StatusActive
Last updated in NPPESMay 19, 2019
Details
- NPI
- 1164088720
- Entity type
- Individual (NPI-1)
- Name
- Jeremy O. Castillo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2019
- Last updated
- May 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
345a Greenwood StWorcester, MA 01607-1753
Phone 508-363-0200 · Fax 508-363-1213
Mailing address
345a Greenwood StWorcester, MA 01607-1753
Phone 508-363-0200
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