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Tabitha Castillo, MA

Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).

NPI number1205293271
StatusActive
Last updated in NPPESJan 21, 2016

Details

NPI
1205293271
Entity type
Individual (NPI-1)
Name
Tabitha Castillo
Credential
MA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 21, 2016
Last updated
Jan 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928

Phone 702-823-3910

Mailing address

3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928

Phone 702-823-3910

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