MEDICARE: KRISTEL CASTONGUAY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	19844	MD

General Provider Information

NPI Number	:	1144668773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEL CASTONGUAY PT

Provider Business Mailing Address
First Line	:	1176 CHANDLER DR
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-7283
Country	:	US
Telephone Number	:	410-751-3776
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ANTRIM BLVD
Second Line	:
City	:	TANEYTOWN
State	:	MD
Zip	:	21787-2277
Country	:	US
Telephone Number	:	410-756-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2013
Last Update Date	:	05/07/2025

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