Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 46TR00104500 | NJ |
NPI | 1245589324 |
---|---|
Provider Name | Ms. Maureen Castello |
First Address | Langhorne, PA 19047 |
Second Address | Moorestown, NJ 08057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2012 |
Last Update Date | 05/09/2012 |