Healthcare Provider Details

I. General information

NPI: 1710898440
Provider Name (Legal Business Name): ALDRIENE PALO CASTRO PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16220 FREDERICK RD STE 325
GAITHERSBURG MD
20877-4000
US

IV. Provider business mailing address

12905 PARKLAND DR
ROCKVILLE MD
20853-3301
US

V. Phone/Fax

Practice location:
  • Phone: 301-771-1344
  • Fax: 240-387-7387
Mailing address:
  • Phone: 227-264-9349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number30978
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: