Healthcare Provider Details

I. General information

NPI: 1487588695
Provider Name (Legal Business Name): PAOLA CASTELLANOS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9461 BATEY AVE
ELK GROVE CA
95624-2005
US

IV. Provider business mailing address

3929 LUTHERAN CIR
SACRAMENTO CA
95826-5414
US

V. Phone/Fax

Practice location:
  • Phone: 916-685-9525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18011
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: