Healthcare Provider Details

I. General information

NPI: 1689071458
Provider Name (Legal Business Name): ABIGHAIL CUYUGAN CASTRO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2014
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 VILLAGE DR STE 101
FAYETTEVILLE NC
28304-4517
US

IV. Provider business mailing address

981 HIGH HOUSE RD STE 100
CARY NC
27513-3510
US

V. Phone/Fax

Practice location:
  • Phone: 910-483-9300
  • Fax: 910-483-9302
Mailing address:
  • Phone: 919-388-0111
  • Fax: 919-388-8668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP13142
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: